Answer:

A redo ablation may not be the right thing to do. As you are aware, 20-30 % people do have a recurrence and a redo mapping and ablation helps to identify and fix segments of Pulmonary v eins that might have developed resumption of electrical conduction and new arrhythmia circuits. Your chances of remaining arrhythmia free of drugs may signficantly improve.

Answer:

Mostly AF is categorized based on it is ability to sustain - 1)paroxysmal: usually converts spontaneously without any external help in the form of drugs or cardioversion. 2)Early Persistent: AF that tends to persist and requires either carioversion or a rhythm drug for it to terminate. 3) Long standing persistent: AF that persisted for several months to years and tends not to respond to rhythm drugs or cardioversions

Answer:

I believe it should be allright. I don't recall any obvious issues with Vitamin D interfering with effects of verapamil.

Answer:

Radiofrequency ablation may an options if you have symptoms and want to be off of rhythm drugs and warfarin (if drug side effects and bleeding related complications are an issue)

Answer:

The question is if you had an AV nodal ablation why are you on diltiazem? Are you still conducting rapidly into your lower chambers from time to time as a result of which you feel the rapid heart beat. Talk to your doctor and see if the AV node ablation is incomplete and he may have touch up the AV node some to completely block impulses from the uppper to the lower chambers

Answer:

The question is if you had an AV nodal ablation why are you on diltiazem? Are you still conducting rapidly into your lower chambers from time to time as a result of which you feel the rapid heart beat. Talk to your doctor and see if the AV node ablation is incomplete and he may have touch up the AV node some to completely block impulses from the uppper to the lower chambers

Answer:

Diane! Obviously your AF seems to progress and seems to be gettign longer. Some people are critically dependent on their atrial kick and atrioventricular synchrony for effective cardiac output and you may be one of them. That probably is the reason why your pressures may go down despite having a near normal ventricular rate during AF. Some people do develop what we call - post conversion pauses where your heart stops breifly until your internal pacemaker (sinus node) wakes up to reestablish order in the house. in some people the sinus node may take a little longer than usual to get back to normalcy and in the mean time develop a pause that make them dizzy or sweaty.

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It has mild betablocking properties so you may experience some difficulty in breathing. It is not universal to every one.

Answer:

Anticoagulation issues in AF are mostly addressed using a CHADS2 risk scoring system for the most part. What he has is only intermittent paroxymal AF with no otehr risk factors like - C-congestive heart failure (1), H- hypertension (1), A - Age >75 yrs (1), D-diabetes (1), and S - prior stroke or mini stroke (2), his only risk factor is his age. I think he may just do fine with ASA alone.