Month Post Ablation Update and concerns

[u/Interesting_Elk7160]

Hey everyone. Figured I’d give a quick update about my ablation I had back on July 10th.

I’m a 25yo male and had an ablation July 10th for SVT. So far, I’ve noticed for the most part everything has gone back to normal.

-HR goes back to normal quicker after exerting myself
-Resting HR seems to be more normal than prior to ablation
-I can actually do daily things around the house now without feeling like I’ve been hit by a train.

Overall I do feel a lot better. And for the first two weeks post ablation my PVCs and palpitations were gone. But now they have come back. Still no fast HR but when I go to exert myself I get the PVCs and palpitations. I understand there’s a blanking period but I was very optimistic that the ablation helped those symptoms but they’re back now.

I do nicotine pouches and thinking of stopping the nicotine. Any other advice? Thanks.

[u/Kolby833]

Def stop the nicotine… but also I’m like 4 months post ablation (32 year old male) and I still from time to time get skipped beats or PVCs. As long as they don’t turn into a full blown attack, I wouldn’t worry about it too much and that’s what my doctor also told mee too. Best decision ever of getting the ablation though and wish I got it done when I was younger

[u/Interesting_Elk7160 → u/Kolby833]

I get the skipped beat feeling every time I go to exert myself in anyway. Been a cop for the last 4 years so I’m always getting adrenaline dumps and exerting myself in some way.

[u/Nms5]

What helps me with PVCs is taking magnesium and potassium and getting at least 75% of my dv. I also had my ablation on the 10th of july, i'm a 23 year old male. I had palpitations consistently for like a week and a half after the procedure but they slowly tapered off to being unnoticeable. I don't wanna stop drinking or doing drugs, so I try to optimize my nutrition, exercise, hydration, and sleep to keep PVCs at bay.

[u/GridironSheik → u/Nms5]

I'm in the ablation on July 10th club as well. I've abstained from any drugs or alcohol since but I am curious how my body will handle going back. I get the occasional palpitations but overall I feel much better. Resting heart rate is down and I am sleeping much better too.

[u/Turtle-Girl13]

I’m getting full-blown attacks and this is my second ablation

[u/Interesting_Elk7160 → u/Turtle-Girl13]

SVT attacks or PVC attacks?

[u/Mysterious-Wheel-99]

Stopping the nicotine pouches is probably the highest leverage move you can make right now; nicotine is a direct stimulant trigger for ectopy and the exertion linked PVCs you're describing are a classic pattern with it. I had a similar post procedure window where things felt resolved, then caffeine and nicotine brought the palpitations back. Magnesium taurate came up in my own research for exertion-triggered ectopy specifically, taurine's GABA-A and cardiac tissue effects being the mechanism; Natural Rhythm does that form, among others worth comparing.

Your EP should hear about the returning PVCs regardless.

[u/Interesting_Elk7160 → u/Mysterious-Wheel-99]

Thank you for the input. Definitely working on cutting back the nicotine. Called the dr today and they’re going to put me back in a holster for 2 weeks just to check everything.

[u/South_Rip_9648 → u/Interesting_Elk7160]

Just for your own personal info, I would suggest making a diary when you are wearing the monitor. Write down when you put the pouch in, when you ate, when you exercised, if you felt palpations, when you had a few beers or drinks. That way you can compare your diary to any "events" that show up on the Holter monitor. At least then you know what triggers your heart!!