I have been taking Colchicine since my appointment August 24th for "post ablation pericarditis". In the office I was having so many PVCs the machine was alerting for pauses and bradycardia 35-51 bpm. I called yesterday because of continued chest/back pain and some tachy episodes. I'm also having large drops (30-40) in heart rate while upright that I am symptomatic during. I got a call back saying that he had prescribed 60mg prednisone for a week. Honestly, I'm scared! I have never taken a steroid, and it seems like somewhat of a high dose.
At my follow up he showed me what looked like a moving x-ray. He said he can't say with certainty, but it looks like my RV lead is rubbing on the outside of my atrium as my heart beats. ALMOST EXACTLY where the arrhythmias were coming from during the EP study/ablation. He says that the placement of both leads isn't optimal for my heart and both have far too much slack. He sent me out after the ablation with a base rate of 30 bmp to try to force CLS only pacing, and it was still 28% at 2 weeks post op. I'm also now noticing my heartrate on my watch dipping to the 40s at night/50s during the day(which never happened preablation). I feel that we know for a fact that I need the pacemaker.. 15 second pauses, fainting within a week of CLS being turned off, these new lower heart rates and drops... but he still for some reason my body would be better off without a pacemaker. Unless there is something I am missing, I don't know how we are back to having that as an option.
I've been dealing with this uncomfortable sensation (I wouldn't call it pain until the last week) off and on for a year. If this is a lead issue, it seems like it needs either fixed or removed, sooner rather than later.. if this is from the ablation, you couldnt pay me to have another one! Hopefully the steroids give some relief and I will follow up with him at the end of October.
If you've made it this far, thanks for reading while I vent..
You know you're wired when...
You know the difference between hardware and software.
Your hearts electrical system has a manmade helper. A helper that only knows to do what it is programmed to do and will perform that function day in and day out, without fail. Now, go enjoy your new grip on life.