Dear Dr Jais,

It is three months since my CA there.

I am still in NSR, with no signs of either AF or AT !!

I have felt no sensations indicating any arrhythmia (and I was certainly symptomatic before -- but of course AF recurrence can be "silent"). Neither my Freeze Framer computer program, nor my blood pressure monitor nor my exercise heart monitor have indicated any problems. (The Freeze Framer program's pulse wave image is particularly sensitive. It clearly indicated my previous AF and AT and occasionally shows PVCs that I am otherwise not aware of.)

I am hoping that it will be OK to go off Coumadin at this time. You may remember that I have no Left Atrial Appendage. My CHADS score would be somewhere between 0 and 1 on the basis of sometimes-borderline blood pressure and perhaps my coronary artery disease (which I do not think is currently  considered to be a significant factor).

Let me know what you think.

I realize that AF (or probably AT, as you said) could recur at any time. I must admit that I was expecting it to have occurred before this time, based on your telling me about the failure to make a complete block in the isthmus lesion in the area of the Left Atrial Appendage. I am curious as to why it hasn't: Could the lesion scar  expanded to close the gap? Could the other work you did removed the possible triggers? Could the other work you did be "mazing off" impulses that might be coming through the gap?

By the way, I have not received a report that describes my procedure. As I mentioned in my previous request, a copy in French would be fine.

I hope things are going well with you and Dr Haissaguerre.

I am very grateful for every day in NSR.