We all know there is no cure for AF. We also know that if left untreated AF can lead to stroke. My journey over the last 25 years has been a long one, culminating in three ablations which certainly gave me relief for a while, and medication which now gives me more problems than they are worth. In short, the aim for all of those with AF is to manage to a degree which give a good quality of life. I have finally reached the point where the qol is going rapidly downhill. Therefore on Tuesday, I go in for the fitting of a pacemaker - followed in four weeks time with an AV node ablation. This, I am told will hopefully improve my quality of life, although obviously the AF will continue but not affect me. I would be telling an untruth if I were to say that I am not a little apprehensive, not about the procedure, but the outcome. I have scoured the posts with very little feedback, although one fine lady, Irina who is in America, has been very helpful. For me the option of severely cutting back on the everyday life that I have, is one that I am finding difficult to accept, I have happily modified and compromised on many things as one does, but in the final analysis even this has not stopped the relentless march of AF and its effects. Any feedback would be gratefully received!