I've had paroxysmal AF for some 8 years now. The episodes occur every few months and last up to several hours now but eventually settle with PIP flecainide using progressive 50mg doses up to 200mg so far in 24 hours.
It all started due to my endurance sports (triathlon, long cycles and marathons). I am now 63 and a retired GP
They usually are precipitated by anxiety or exercise and I am a great worrier.
My EP states that ablation is for symptom control/ lifestyle only and there is nothing to indicate it reduces strokes or improves life expectancy. The trials are ongoing but so far have failed to show improved outcomes.
I have much reduced my sport unfortunately for various reasons
He has offered me ablation if I wish. What would you do?