Hello to all fellow sufferers of AF. I have had Paroxysmal AF for 18 years and it has manifested itself in many different forms. I have had 5 ablations and I would say that only the first one really made any kind of difference. In fact the last couple of ablations seems to have made the AF worse, it takes longer to revert and can include frightening episodes of a 250+ pulse at times. I have now been told that the only option left to me is an AV node ablation. I have resisted this for a long time, because I don't want to be dependent on the pacemaker, and I know from my conversations with doctors that the AF will still continue and that this can cause an enlarged heart. When I do get an attack it is often linked to anxiety about something going on in my life, and I wonder if others have found AF worse if they are stressed?