Post-Procedure Heart Rhythm Changes and Caffeine Effects

Q: Post-Procedure Heart Rhythm Changes and Caffeine Effects

Hello： Catheter ablation for arrhythmia treatment involves using radiofrequency energy to create heat that causes localized myocardial tissue necrosis, thereby disrupting the abnormal conduction pathways that trigger arrhythmias. <br>During the healing process of the myocardial t

Arrhythmia with tachycardia?

I underwent radiofrequency ablation for arrhythmia around mid-July.
When I first returned home from the hospital, my heart rate was normal, with no missed beats or tachycardia.
However, recently I have been experiencing episodes where my heart beats four times and then pauses, or my heart rate becomes too fast, reaching 130 beats per minute, and my blood pressure is slightly low.
I would like to know if this is considered a normal phenomenon.
After the procedure, does consuming cola, coffee, or soda contribute to an increased heart rate?

Yang, 50~59 year old female. Ask Date: 2021/07/25

Dr. Huang Yinghe reply Cardiology

Hello: Catheter ablation for arrhythmia treatment involves using radiofrequency energy to create heat that causes localized myocardial tissue necrosis, thereby disrupting the abnormal conduction pathways that trigger arrhythmias.
During the healing process of the myocardial tissue, patients may experience symptoms such as chest pain and palpitations within two to three weeks post-procedure, which typically resolve within a month.
A small percentage of individuals may experience a recurrence of arrhythmia and require a second procedure.
Catheter ablation is specifically aimed at treating certain types of arrhythmias, such as supraventricular tachycardia or ventricular tachycardia, and does not eliminate all forms of arrhythmia.
For instance, stress, anxiety, alcohol consumption, or caffeinated beverages can still lead to premature contractions (the sensation of skipped beats) or tachycardia.
It is recommended to stay relaxed, avoid excessive fatigue, and attend follow-up appointments as scheduled, during which the physician will assess the situation and perform any necessary evaluations or interventions.

Reply Date: 2021/07/25

More Info

After undergoing a catheter ablation procedure for arrhythmia, it is not uncommon to experience fluctuations in heart rhythm as your body adjusts to the changes made during the procedure. The heart may take some time to stabilize, and it is essential to monitor any new symptoms that arise during this period.
The symptoms you describe, such as experiencing a rapid heart rate of 130 beats per minute and occasional skipped beats, can occur post-procedure. These changes can be attributed to several factors, including the healing process of the heart tissue, the effects of medications, and lifestyle factors such as caffeine intake.
Caffeine, found in beverages like coffee, cola, and other sodas, is a known stimulant that can increase heart rate and potentially lead to palpitations. For individuals with a history of arrhythmia or those who have recently undergone heart procedures, it is often recommended to limit caffeine consumption. While moderate caffeine intake is generally considered safe for most people, it can exacerbate symptoms in those with sensitive hearts or those recovering from procedures.
In your case, if you notice that your heart rate increases significantly after consuming caffeinated beverages, it may be wise to reduce or eliminate these drinks from your diet. Instead, consider opting for non-caffeinated alternatives, such as herbal teas or water, to help maintain a stable heart rhythm.

It is also important to consider other factors that can influence heart rate and blood pressure. Stress, anxiety, dehydration, and certain medications can all contribute to changes in heart rhythm. If you are experiencing low blood pressure alongside a rapid heart rate, it is crucial to discuss these symptoms with your healthcare provider. They may want to evaluate your current medications, as some can have side effects that impact heart rate and blood pressure.

In summary, while some fluctuations in heart rhythm can be expected after an ablation procedure, persistent symptoms such as a consistently high heart rate or low blood pressure warrant further investigation. It is advisable to keep a record of your symptoms, including when they occur and any potential triggers, such as caffeine intake. This information can be helpful for your healthcare provider in determining the best course of action.

If your symptoms persist or worsen, do not hesitate to reach out to your cardiologist. They may recommend further testing, such as an electrocardiogram (ECG) or Holter monitor, to assess your heart rhythm more closely. Additionally, they can provide personalized advice on managing your symptoms and lifestyle changes that may help stabilize your heart rate. Remember, your health and well-being are paramount, and open communication with your healthcare team is key to managing your condition effectively.

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