I have been diagnosed with PAF and successfully treated by rf ablation of the offending pulmonary vein focus. Several other foci were left untreated as these were found primarily responsible for PACs.
I understand that there is cardiac tissue located somewhere along the outside of the PV at or near the ostium (characteristically in the atrial sleeve surrounding the PV attachment point) and that sometimes (for reasons somewhat unclear) the electrically active portion of this tissue begins firing on its own. This appears to result in at least two phenomena: (1) actual tremor-like movement of the muscular components of the sleeve (and PV?) and (2) abberant electrical (or physical) signals reaching the atria setting off an atrial premature depolarization ("skipped beat").
Three questions:
(1) In the case of an active PV focus, is it true that the muscular components of the sleeve and the PV actually move in a tremor-like mode?
(2) Can one be sensitive to such movement, to the point of feeling an internal "nervous" tremor-like sensation, often corresponding with heightened PAC activity?
(3) What steps can be taken to relieve this "internal tremor", distinct from treating the PACs...ie, I realize that the treatment of PACs alone by ablation may be unwarranted, however, the tremor component is driving me crazy!
I have asked two leading cardiologists about the tremor-like sensation/presentation, and both have conceded that it's possible (perhaps through amplification by the nearby phrenic nerve system), but neither has proposed a possible solution...other than "get used to it".
Any light you can shed would be helpful, and thanks for the forum!