Hi everyone Happy new year to you all. I have suffered from paroxsizmal AF also Atrial flutter since 2011. After many trips to A&E and investigations I decided not to have ablation. I take Bisoprolol and Apixaban and have been much better. However recently saw the cardiologist who after reading my ecg says I am in permanent AF that goes quite fast on occasions 133 to 150 bpm. She also wants me to have a repeat echo. If that is ok she says she will probably add either Digoxin or Diltazium to my drug regime. My concern is that Digoxin which I know has been used for the past 200years has suddenly got some bad press, thought now to lessen people's life span according to a huge American study that was done on it. I know very little about Diltazium, I wondered if anyone has any info or comment to make. Might help me make a decision as to what to take.