Post-Cardiac Catheter Ablation Symptoms and Treatment

Catheter ablation

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 2 to 3 weeks after surgery, and that there should be no further issues afterward.
I also had an electrocardiogram that day, and the doctor said everything looked fine.
However, he prescribed a month's supply of medication, specifically Verapamil HCl 240 mg, to be taken half a tablet every morning.
The doctor indicated that my condition should improve after a month.

Could you please confirm if this treatment process is normal? The doctor mentioned that my sympathetic nervous system is more sensitive than average, which is why my heart rate is faster than normal.
Lastly, I would like to ask about my tinnitus, which resonates with my heartbeat and has lasted for about two months.
I have also consulted an otolaryngologist, who said that sometimes this can be caused by autonomic nervous system issues or other factors.
He mentioned that some people suffer from tinnitus for many years without knowing it could be related to heart issues.
Is there a connection? Thank you!

A-Ming, 40~49 year old female. Ask Date: 2012/08/17

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 currently experiencing some panic symptoms due to previous situations.
Please relax, and know that Changhua Hospital cares about you.

Reply Date: 2012/08/17

More Info

After undergoing cardiac catheter ablation, it is not uncommon for patients to experience a range of symptoms as part of the recovery process. Your doctor’s explanation that you may experience symptoms for 2 to 3 weeks post-procedure is consistent with typical recovery timelines. The symptoms you are experiencing, such as increased heart rate and tinnitus (ear ringing), can be attributed to several factors related to the procedure and your individual physiology.

Understanding Post-Cardiac Catheter Ablation Symptoms
1. Post-Procedure Symptoms: After catheter ablation, patients may experience sensations such as palpitations, increased heart rate, or even discomfort in the chest area. These symptoms are often due to the heart's healing process and the adjustment of the autonomic nervous system, which regulates heart rate and rhythm.
2. Medication: The prescription of Verapamil, a calcium channel blocker, is a common practice to help manage heart rate and control symptoms post-ablation. It works by relaxing the blood vessels and reducing the heart's workload, which can help alleviate symptoms of tachycardia (rapid heart rate). Your doctor’s recommendation to take half a tablet daily for a month is a standard approach to gradually stabilize your heart rhythm and monitor your response to the medication.

3. Sensitivity of the Autonomic Nervous System: Your doctor mentioned that your sympathetic nervous system is more sensitive than average. This can lead to an increased heart rate and heightened awareness of bodily sensations, including palpitations. The autonomic nervous system plays a crucial role in regulating heart function, and its sensitivity can vary from person to person.

Tinnitus and Its Connection to Cardiac Health
Regarding your tinnitus, it is interesting to note that this condition can sometimes be linked to cardiovascular health. Tinnitus can arise from various causes, including:
- Autonomic Nervous System Activity: Increased sympathetic activity can lead to heightened awareness of bodily sensations, including sounds that may not be as noticeable under normal circumstances. This could explain why your tinnitus resonates with your heartbeat.

- Circulatory Issues: Changes in blood flow or pressure can sometimes exacerbate tinnitus. If your heart rate is elevated, it may influence the perception of sound in your ears.

- Stress and Anxiety: Post-procedure anxiety can also contribute to both increased heart rate and tinnitus. The stress of undergoing a cardiac procedure can lead to heightened awareness of bodily sensations.

Recommendations for Management
1. Follow-Up with Your Cardiologist: It is essential to maintain regular follow-ups with your cardiologist to monitor your heart's recovery and the effectiveness of the prescribed medication. If symptoms persist or worsen, further evaluation may be necessary.

2. Monitor Tinnitus: Keep track of your tinnitus symptoms. If it continues to be bothersome or if you notice any changes, consider discussing this with your ENT specialist again. They may recommend additional tests or therapies to help manage the condition.

3. Lifestyle Modifications: Engaging in stress-reducing activities such as yoga, meditation, or gentle exercise can help manage both heart rate and tinnitus. Staying hydrated and maintaining a balanced diet can also support overall cardiovascular health.

4. Medication Adherence: Ensure you take your medication as prescribed and report any side effects or concerns to your doctor. This will help in adjusting the treatment plan as necessary.

In summary, your experience post-cardiac catheter ablation is within the realm of normal recovery, but it is crucial to stay vigilant and communicate openly with your healthcare providers about your symptoms. They can provide tailored advice and adjustments to your treatment plan as needed.

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