After seeing my cardiologist and discussing my options one of those was pace and ablate. This was to implant a pacemaker and then ablate the heart top and bottom effectively turning off the hearts natural electrical system and leaves you dependent on the pacemaker alone. As this leaves you totally dependent on a pacemaker so if it malfunctions you are dead. It does not stop the AbFib just the effects of it. I did not like the sound of this procedure but if anyone has undergone this how did they find it worked for them? I suffer severe breathlessness at the moment and are awaiting a TOE in April to see if the clot in my heart has disappeared . If it has not this was one of the alternatives offered.