WPW Syndrome: Post-Ablation Recovery and Concerns

Catheter ablation for arrhythmia?

Hello, I have arrhythmia and was diagnosed with Wolff-Parkinson-White (WPW) syndrome.
During episodes, my heart rate exceeds 150 beats per minute.
On May 26, I underwent catheter ablation at Cheng Kung University Hospital.
During the electrophysiological study, another arrhythmia (atrial flutter) was also detected.
I would like to know if doctors typically treat only the clinical symptoms or if they also address the findings from the tests.
The doctor did not specify, only stating that the procedure was completed, and I didn't ask further because I was feeling very uncomfortable and in pain.
Since the procedure, I have experienced a sensation of impending episodes that do not materialize.
I had a follow-up appointment on June 4, and my electrocardiogram was normal.
Additionally, I have a hard lump about the size of a one-dollar coin at the incision site, which has healed and appears normal, but feels slightly painful to touch, although it does not hurt when walking.
I found information online suggesting that this is a normal phenomenon and will gradually disappear over time.
Is this true?
How long after the procedure can I resume normal exercise? Can I do strength training? (I had been strength training for a year before the procedure, with moderate to high-intensity workouts, and experienced two episodes during that time.) After the procedure, I feel more easily short of breath (I find it harder to breathe when climbing the same number of stairs compared to before).
Is this due to my heart still adapting? Thank you for your response.

Xiao Ding Ding, 40~49 year old female. Ask Date: 2021/06/05

Dr. He Dongjin reply Cardiology

Hello, it will gradually disappear after some time, and you can start strength training again, but let's wait until the wound is completely healed.
Post-surgery, it's common to experience shortness of breath, likely due to prolonged rest and a slight decline in physical fitness.
There's no need to rush; once the wound is healed, you can gradually increase your activity level.
You can start with what is known as pulmonary rehabilitation, and then later intensify your strength training.
Changhua Hospital cares about you.

Reply Date: 2021/06/05

More Info

Understanding Wolff-Parkinson-White (WPW) Syndrome and Post-Ablation Recovery
Wolff-Parkinson-White (WPW) syndrome is a condition characterized by an extra electrical pathway in the heart, which can lead to episodes of rapid heart rate (tachycardia). The symptoms you experienced, such as a heart rate exceeding 150 beats per minute, are typical of this syndrome. The treatment you underwent, catheter ablation, is a common and effective procedure aimed at eliminating the abnormal electrical pathway responsible for the arrhythmia.

In response to your question about whether doctors treat only the clinical symptoms or also address other findings discovered during examinations, the answer is that typically, both aspects are considered. In your case, since the electrophysiological study revealed another arrhythmia (atrial flutter), it is likely that your physician aimed to address both the WPW syndrome and the atrial flutter during the ablation procedure. This approach is common, as treating all identified arrhythmias can help prevent future episodes and improve overall heart rhythm stability.

Regarding your post-ablation symptoms, it is not uncommon to experience sensations of impending arrhythmia or palpitations after the procedure. This can be attributed to the heart's adjustment period as it heals and adapts to the changes made during the ablation. The presence of a small, tender lump at the site of the catheter insertion is also a normal occurrence. This lump may be due to localized inflammation or scar tissue formation, which typically resolves over time. It is essential to monitor the area for any signs of infection, such as increased redness, warmth, or discharge, but if the appearance is normal and only mildly tender, it is likely part of the healing process.

As for your concerns about returning to normal activities, including exercise and weight training, it is crucial to follow your physician's recommendations. Generally, patients are advised to avoid strenuous activities for a few weeks post-procedure to allow for adequate healing. After this initial period, many individuals can gradually resume their regular exercise routines, including weight training, but it is essential to listen to your body and not push yourself too hard too soon. If you experience any unusual symptoms, such as significant shortness of breath or chest pain during exercise, you should consult your healthcare provider.

The increased shortness of breath you mentioned when climbing stairs could be related to several factors, including the body's adjustment to the changes in heart rhythm and function post-ablation. It is not uncommon for patients to feel more fatigued or experience changes in their exercise tolerance during the recovery phase. If this symptom persists or worsens, it would be wise to discuss it with your doctor, as they may want to perform further evaluations to ensure that your heart is functioning optimally.

In summary, your experience following the ablation procedure is not unusual, and many of the symptoms you describe are part of the recovery process. It is essential to maintain open communication with your healthcare team, follow their advice regarding activity levels, and report any concerning symptoms. With time and appropriate care, many patients with WPW syndrome can return to their normal activities and enjoy a healthy lifestyle.

Similar Q&A

Post-Ablation Symptoms: Understanding New Heart Rhythm Issues

Hello Doctor, I underwent catheter ablation surgery for Wolff-Parkinson-White (WPW) syndrome last November. During the procedure, it was discovered that there were bundles of Kent on both the left and right sides of the heart, which resulted in a longer surgery time of over 7 hou...

Dr. Huang Yinghe reply Cardiology
Hello: Ectopic atrial rhythm and VPCs are likely unrelated to the surgery. Chest pain symptoms can have various causes that need to be investigated. Three months after radiofrequency ablation, myocardial repair is more stable. If arrhythmias recur, you may consider undergoing ano...

Do You Need Ablation for WPW Syndrome? Can You Fly Safely?

Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first one was in December last year, and the second one was just done in July). 2. Dopple...

Dr. He Dongjin reply Cardiology
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...

Do You Need Ablation for WPW Syndrome? Can You Fly?

Hello, Director. I am the inquirer regarding WPW syndrome (#198260) and whether I need catheter ablation (and if I can fly). Thank you very much for your thoughtful response. After reading your reply, I would like to ask you a few more questions (thank you very much): 1. Regardi...

Dr. He Dongjin reply Cardiology
Hello, since you have never experienced anything like this before, just continue living your life as you did in the past! You should fly, exercise, and do whatever you used to do. If you have been doing well until now, why change your life just because you learned about this cond...

Managing WPW Syndrome: Daily Tips and Exercise Guidelines

I was informed during my military service examination that I might have Wolff-Parkinson-White (WPW) syndrome. I have experienced dizziness since childhood, and during college, I had several episodes of rapid heartbeat that required emergency room visits. Afterward, I underwent ec...

Dr. Wu Xueming reply Cardiology
If Wolff-Parkinson-White (WPW) syndrome presents with arrhythmias, it is recommended to consider catheter ablation. A 24-hour Holter monitor can be performed in an outpatient setting for further evaluation.