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Arrhythmia has increased to 40% after first ablation- 2nd or 3rd Ablation?? Have you had 2nd, why?

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frank225
frank225

Hi,

I will try to make it short but not always possible so I will ask the question first then please read the rest if you are interested.

-- Can new trigger points develop after an ablation for arrhythmia?

I am male 73 yrs. old I have been diagnosed with benign ventricular ectopics in 2015

I was put on 2.5 mg Bisoprolol for good number of years. It reduced my heart rate, specially at nights it went down as low as 40-42 bpm. But it did not reduced the ectopic frequency. Finally it was decided to go for the ablation route because they could not increase the dosage of Bisoprolol due to low bpm. At that time the ectopic Burden was around 10% most of the time but every 2-3 weeks it vent up to around 20-28 % sometimes it was just for a few hours sometimes it was for 5-6 days.

I have had the ablation November 2021 it was very good for about 5 weeks. I didn't notice any there may have been some but would have been rare. Then it started again I was put on 40mg Sotalol twice daily. Burden increased to around 30% Increased the Sotalol to 3 times daily then to 4 times daily but did not make any difference. Now the burden is around 40% permanently 24/7.

After the ablation I had been told that some of the trigger points were to close to the AV node, my heart stopped when they tried to ablate one of them, so as it stands a second ablation procedure is out of the question, there is no point. At first, ablation seemed very successful which makes me think something has changed. So I can't help wandering if this very high rate of ectopics caused by the new trigger points rather than the old ones that could not be ablated. If that is the case new trigger points location may be suitable for ablation. Openning the possiblity for a second ablation.

-- My question is, has anybody have a similar experience or heard new rigger points developing after ablation?

All your contributions will be greatly appreciated

Thank you

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