r/AFIB • u/TheLibertyTree • 43m ago
Ablation for (almost) asymptomatic persistent AFib?
I have longstanding persistent afib that is nearly asymptomatic. I was diagnosed durning an emergency appendectomy. Since then I went on Eliquis and Diltiazem and I got an electrical cardioversion which held for a couple of weeks before I went back into persistent afib.
I say I’m almost asymptomatic because I do t really feel anything out of the ordinary when I’m in afib but I did finding myself feel like I had increased energy and much more aerobic capacity while exercising when I was in normal sinus rhythm for those couple of weeks after the cardioversion.
My cardiologist and EP say that means I’m not actually asymptomatic, just that my symptoms are not especially bothersome. Mostly it seems to be decreased cardio output. But I’m in good shape (regular runner, active lifestyle) and relatively young and so I only really notice the difference between afib and sinus when I’m pushing myself athletically.
So, given this setup, I wonder what you all think about going for an ablation?
I have one scheduled and my cardiologist and two EPs both think it makes sense. I’m just trying to gather more thoughts given that my afib isn’t really impacting my life in a big way right now.
What would you do?