For some of us who have had ablations, and although effective for a time, have not proved to give lasting relief, it seems the only remaining course of action is for an AV ablation and a pacemaker. However, the af can still continue. In which case is one put onto medication for that, which is a little concerning as the whole reason for an ablation is because medication has failed. It looks as though I am heading in that direction - any comments would be appreciated. Thank you.