I think it’s the time for me to tell my story, so I don’t to look like an intruder in this forum. I had my very first episode of AF during a hard fought tennis match (since I was an assiduous tennis player for many years). At that time, I had just turned forty years old and was in top physical form. The AF attack only lasted a few hours and I felt fine afterwards, but It came back again after another hard match a few weeks later. Then, I realized that strenuous physical execise would bring it it and from then on, I tried to avoid over exerting myself physically. This kept the AF away for a few years in spite of my being a tea, coffee drinker and a wine lover. As I got older the triggers of AF got more varied, strong coffee and severe mental or physical strees would bring it. By the way, all this time I was without any medication. After I had a more severe AF episode 5 years after the first one, I was hospitalized for a comprehensive heart examination, that included catheterization of the coronaries. All the test were negative except for PAF. Since my AF episodes were still very infrequent and only lasted a few hours, I was not given any medicines. 20 years later I had a severe attack after drinking some cocktails before dinner. I was hospitalized for another exhaustive cardiovascular work up, which was also negative except for AF. Thisi time I was prescribed a beta blocker and one Aspirin a day. Seven years later, the surgeon performed the Cox Maze procedure on my heart and told me I was “cured”, but this cure only lasted seven year, because one morning I woke up with AF, but this time I noticed a big difference, instead of a fast irregular pulse, the heartbeats were very slow, and they would not increase even with excercise. The attack disappeared spontaneously after a few days. One year later, the AF came back after a restless night and severe emotional stress caused by a serious financial loss. This time it would not go away and had cardioversion for the first time. Unfortunately the AF only went away for 24 hours. Then, I was referred to the EF for an ablation, but he said that it was too dangerous because of my advanced age, and also because my heart had too many scars from the previous maze procedure. Instead he implanted a pacemaker, because I was having definite signs of a sick sinus disease because of my very slow pulse. For the AF, he prescribed Tikosyn or Defetilide, an antiarrhythmic drug. So far, for the last six months since having the pacemaker implanted and taking the Dofetilide, I feel great with no AF at all and full of energy like never before. Incidentaly, I had the sleep study done recently, and I was diagnosed with severe sleep apnoea, which might have played an important role in my AF disease all these past decades, but I was unaware of it. I will tell you, that my fantastic improvement is also due to my having wonderful nights of restful sleep with the help of the C-Pap machine. As a final statement to asure people that AF doesn’t kill, I will turn 85 in a couple of months and have been dealing with AF for more than half of my life, and AF hasn’t killed me yet.