Post-Procedure Heart Palpitations: Your Symptoms After Ablation

After undergoing catheter ablation for arrhythmia, I often feel a strange sensation in my heart, as if my heartbeat is reaching my throat?

Hello Doctor, I just underwent catheter ablation for paroxysmal supraventricular tachycardia (PSVT) yesterday and was discharged today.
The doctor mentioned that they found and ablated an abnormal nerve, but I still have issues with atrial fibrillation, which lasts about 2 minutes before returning to normal.
The doctor said the causes are complex, so they did not address it and that I may need another ablation in the future.
However, in the past two days post-surgery, I have frequently felt my heartbeat suddenly strengthen (but not accelerate), occurring around 20 times, with each episode feeling like my heartbeat is in my throat.
While I was in the hospital, I had an ECG during one of these uncomfortable episodes, and the attending physician said the ECG was normal.
Could this be a possible complication after the ablation, or am I just being overly sensitive? Is there any danger, as I won't be able to return for a follow-up until next week?

Fatboy, 50~59 year old female. Ask Date: 2016/04/15

Dr. Li Han reply Cardiology

Hello Fatboy, based on your inquiry, you have arrhythmia, which may include simple atrial or ventricular premature contractions, paroxysmal atrial fibrillation, and paroxysmal supraventricular tachycardia.
The latter may have been temporarily resolved due to catheter ablation, but the earlier types of arrhythmias may still be present, with or without symptoms.
When you experience palpitations, if the electrocardiogram is normal at that moment, it should rule out arrhythmia as a factor.
It is recommended that you discuss further treatment with your cardiologist.
Wishing you well from the Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/15

More Info

After undergoing a catheter ablation procedure for paroxysmal supraventricular tachycardia (PSVT), it is not uncommon to experience various symptoms, including palpitations. Your description of feeling a sudden increase in heartbeats, which you perceive as a strong heartbeat in your throat, can be concerning, but it is important to understand the context of these symptoms in relation to your recent procedure.

Understanding Post-Ablation Symptoms
1. Normal Post-Procedure Reactions: Following an ablation, it is typical for patients to experience some irregularities in heart rhythm as the heart adjusts to the changes made during the procedure. The heart may take time to heal, and during this period, you might notice sensations of palpitations or a feeling of your heart racing or pounding. This can be due to irritation of the heart tissue or the autonomic nervous system's response to the procedure.

2. Atrial Fibrillation (AF): You mentioned having atrial fibrillation (AF) that was not addressed during the procedure. AF can sometimes be triggered or exacerbated by the stress of the procedure itself. The fact that you experience episodes of your heart beating strongly for a couple of minutes could be related to this underlying condition. It is essential to monitor these episodes, especially since AF can lead to other complications if not managed properly.

3. Electrophysiological Changes: The ablation procedure aims to eliminate abnormal electrical pathways in the heart. However, the heart's electrical system can be sensitive post-procedure, leading to transient changes in rhythm. These changes may manifest as palpitations or a sensation of increased heart rate without an actual increase in heart rate (i.e., the heart is beating strongly but not necessarily faster).

4. Psychological Factors: Anxiety and stress can also play a significant role in how you perceive your heart's activity. After a procedure, it is natural to be more attuned to your body, which can amplify sensations that you might not have noticed before. This heightened awareness can lead to feelings of discomfort or anxiety about your heart's function.

When to Seek Further Evaluation
While many post-ablation symptoms are benign and resolve with time, there are certain signs that warrant further evaluation:
- Persistent or Worsening Symptoms: If your palpitations become more frequent, last longer, or are accompanied by other symptoms such as chest pain, shortness of breath, or dizziness, it is crucial to seek medical attention promptly.

- Changes in Symptoms: If you notice a significant change in the nature of your palpitations or if they begin to occur at rest rather than with exertion, this should be discussed with your healthcare provider.

- Concerns About AF: Given your history of atrial fibrillation, if you experience symptoms that suggest AF (such as irregular heartbeats, fatigue, or lightheadedness), it is essential to have these evaluated.

Recommendations
1. Follow-Up Appointment: Since you have a follow-up appointment next week, make sure to document your symptoms, including the frequency, duration, and any associated feelings. This information will be valuable for your healthcare provider.

2. Lifestyle Modifications: Engaging in relaxation techniques, such as deep breathing exercises, yoga, or meditation, may help manage anxiety and reduce the perception of palpitations.

3. Medication Review: If you are on any medications post-procedure, review them with your doctor to ensure they are appropriate for your current condition and symptoms.

4. Monitoring: Consider using a heart rate monitor or keeping a symptom diary to track your heart rate and any episodes of palpitations. This can provide useful data for your healthcare provider.

In conclusion, while experiencing palpitations after an ablation procedure can be common, it is essential to remain vigilant and communicate openly with your healthcare provider about your symptoms. They can help determine if further evaluation or treatment is necessary based on your specific situation.

Similar Q&A

Understanding Post-Procedure Heart Rhythm Issues: When to Seek Help

Hello Doctor: I have been diagnosed with arrhythmia and was found to have two additional electrical pathways in my heart. Therefore, I underwent catheter ablation six months ago. However, I still experience some symptoms, such as sudden increases in heart rate lasting about 2-3 s...

Dr. Ke Zhengchang reply Internal Medicine
Dear Ms. Chuan, After undergoing ablation surgery for arrhythmia, it is essential to continue monitoring and treatment. I recommend that you follow up with a cardiologist (Dr. Wen, the director of our cardiology department, specializes in treating arrhythmias and ablation proce...

Understanding Post-Cardiac Catheter Ablation Symptoms and Treatment

Hello Dr. He, I had surgery performed by Dr. Cheng at Chi Mei Medical Center in Tainan City. The day before yesterday, I had a follow-up appointment where I informed the doctor about my post-surgery condition. He mentioned that it is normal to experience burning sensations for ...

Dr. He Dongjin reply Cardiology
Hello, your symptoms can be summarized as being caused by autonomic nervous system dysfunction, which includes tinnitus and palpitations. These can be managed with medication. Once the arrhythmia is treated, you should be fine. Try not to worry too much; it seems you are currentl...

Are Patients with Arrhythmia Sensitive to Temperature Changes After Ablation?

Hello Doctor: I have some questions regarding arrhythmia. In 2015, a CT scan revealed calcified plaques in the proximal segment of the left anterior descending artery (LAD), causing a luminal diameter narrowing of less than 25%. The doctor advised that stenting was not yet necess...

Dr. He Dongjin reply Cardiology
Hello, it seems that you are currently experiencing instability due to changes in both your internal and external environment, such as temperature fluctuations and vaccination. These factors can lead to autonomic nervous system instability, which may stimulate the heart and cause...

Post-Cardiac Catheterization: Understanding Rapid Heartbeat Concerns

Hello, doctor. My father experienced rapid heartbeat and discomfort at home two years ago, which led to an emergency visit. He was diagnosed with arrhythmia and underwent catheter ablation. Due to the unfavorable location, a cryoablation procedure was performed later. However, on...

Dr. Li Han reply Cardiology
Hello, regarding the question "Can heart rate be too fast after cardiac catheterization?" Your father experienced palpitations and sweating due to paroxysmal tachyarrhythmia two years ago and underwent electrophysiological study and radiofrequency ablation. From your wo...