BACKGROUND: Age 49, diagnosed with PAF/lone in Feb. 2005. Heart rates in the 250s and then down to 30s, mostly at night but had one presyncopal episode during the day when active and my heart rate plummeted to 30 when in AF. Procedures include: Ablations for fib and flutter (2), cardioversion (failed), 4 antiarrythmics (failed) and a near fatal blood response to Hurricane Spray during a TEE (developed Methemaglobinemia and was coded). Final procedure: AV Node ablation and Pacemaker insertion (Medtronic INSYNC III BiV--no cardiomyopathy, but it was offered to me by my surgeon and I said YES! to prevent possibility of ventricular paced induced cardiomyopathy).
PACEMAKER SETTINGS: Low of 75 and high of 140. Pacing 80% in atria, 100% in ventricles.
MEDS: Tarka 2/240mg TID, ASA 325mg Niaspan, Synthroid, Cytomel, Zyrtec, Singulair. I was on Coumadin but stopped it one month ago, per my EP.
My high atrial rate episodes/mode switches have dropped from 1800 in 3 months to 13 in 11 weeks, with the longest being 22 sec, thus the switch from Coumadin to ASA one month ago.
I am being treated for HTN, prediabetes, and high lipid panels. With diet, exercise and meds, all are in normal range, except for an HDL of 34 (I take Niaspan for this). Is it safe for me to be on ASA vs. Coumadin? I have concerns that with the AV Node ablation, I won't know if/when my afib worsens and I am dealing with longer episodes.
Question 2: for the past 23 days, suffering from Bronchitis and violent coughing...as I am pacemaker dependent, I wonder: can the leads be pulled out or fractured?