Post-Cardiac Catheter Ablation: Recovery and Symptoms

Just completed a cardiac catheter ablation procedure?

Hello, doctor.
I underwent catheter ablation surgery in early July this year due to recurrent arrhythmias that had become more frequent recently.
After the examination, the doctor recommended the procedure.
It has been over three weeks since the surgery.
Lately, I've been feeling unwell, especially at night when I lie flat; I can feel my heart beating, and sometimes it feels a bit tight, causing discomfort in my chest, which makes it hard for me to fall asleep.
I would like to ask if this is a common issue that can occur after surgery, or could it indicate that the procedure was unsuccessful? The doctor mentioned that the recovery period would be two weeks, after which I could resume normal activities.
I have been active since then and will have a follow-up appointment.
However, because I've been experiencing this issue at night, I searched online for answers and found this consultation service.

After the surgery, I had an incision in the groin area, and my left leg had a venous puncture.
However, there was an accidental arterial puncture, which required a longer recovery time.
During my first follow-up appointment, the doctor said that the arterial blood flow looked much better than before and there was less turbulence, indicating no significant issues.
Otherwise, if it were severe, I would need surgery to repair the arterial puncture.
The doctor reassured me that another follow-up should not pose any major problems.

I am just concerned about this nighttime issue and would appreciate your guidance to help ease my worries, as I am preparing to return to work and am afraid of any potential complications.
Thank you!

Xiao Jing, 20~29 year old female. Ask Date: 2018/07/27

Dr. He Dongjin reply Cardiology

Hello, I sometimes feel a bit of discomfort in my chest while my heart is beating, which makes it difficult for me to fall asleep.
This seems more like an issue with autonomic nervous system dysregulation rather than a failed surgery.
If the surgery had not been successful, the symptoms would likely resemble those I experienced previously, but they are different now.
There's no need to worry; it’s best to observe the situation for now.
Alternatively, during my follow-up appointment, I can ask the doctor for some medication to help stabilize my autonomic nervous system.
The arterial blood vessels should not be affected.
For now, just keep observing.
Take care from Changhua Hospital.

Reply Date: 2018/07/27

More Info

After undergoing catheter ablation for arrhythmia, it is not uncommon to experience various sensations and symptoms during the recovery period. Your description of feeling your heart beating and experiencing some discomfort in your chest, especially when lying down, can be concerning but may also be part of the normal healing process.
Firstly, it is important to understand that catheter ablation is a procedure designed to correct abnormal heart rhythms by destroying the small areas of heart tissue that are causing the irregular beats. While many patients experience significant improvement in their symptoms post-procedure, some may still have transient symptoms as their heart adjusts to the changes made during the procedure.

The sensations you are experiencing, such as feeling your heart beating more prominently (palpitations) and occasional chest discomfort, can be attributed to several factors:
1. Healing Process: After the procedure, your heart may still be healing, and the surrounding tissues can be sensitive. This sensitivity can lead to feelings of discomfort or unusual sensations as your body recovers.

2. Nerve Regeneration: The heart has a complex network of nerves that can be affected during the ablation. As these nerves heal, you may experience sensations that were not present before the procedure.

3. Anxiety and Stress: It is also worth noting that anxiety about your health and the procedure can manifest physically. If you are worried about your symptoms, this can lead to increased awareness of your heartbeats and discomfort.

4. Post-Procedure Arrhythmias: Sometimes, after an ablation, patients may experience brief episodes of arrhythmia as the heart adjusts. These can feel like palpitations or irregular heartbeats and may be more noticeable when lying down.

5. Positioning: Lying flat can sometimes exacerbate feelings of discomfort or palpitations. If you find that your symptoms worsen when lying down, try propping yourself up with pillows to see if that alleviates some of the discomfort.

Given that you had a complication during the procedure involving the artery, it is good to hear that your follow-up appointment indicated improvement. However, it is essential to keep monitoring your symptoms. If the discomfort persists or worsens, or if you experience additional symptoms such as shortness of breath, dizziness, or severe chest pain, you should contact your healthcare provider immediately.

In terms of recovery, while your doctor mentioned a two-week recovery period, it is important to remember that full recovery can take longer, and everyone heals at their own pace. Continue to follow your doctor's advice regarding activity levels, and do not hesitate to reach out to them with any concerns you have about your symptoms.

Finally, as you prepare to return to work, ensure that you are taking care of yourself. Adequate rest, hydration, and a gradual return to normal activities can help facilitate your recovery. If your symptoms are affecting your ability to sleep or function, it may be beneficial to discuss this with your doctor, who may have additional recommendations or treatments to help manage your discomfort.

In summary, while the symptoms you are experiencing can be common post-ablation, it is crucial to maintain open communication with your healthcare provider to ensure a smooth recovery and address any concerns you may have.

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