Hi, I started with AF in my mid thirties, I am now 60, and in 2013 was diagnosed with heart failure through mild left ventricular impairment due to right ventricular pacing (I am on my second pacemaker) and 2 leaking Valves. After the HF diagnosis I was put on Bisoprolol and ramipril, and kept on Digoxin plus warfarin, which I have taken for all of the time I have had AF, in fact it was the first drug I was put on. However, I now read that Digoxin has a higher mortality rate for people who take it than those who don't. I also read on the internet that HF typically ends your life after 5 years from diagnosis, though I don't feel any worse than I did in 2013. So as you can imagine, I am now feeling a bit worried as to where I will go from here. Does anyone else recognise my story and had the same, if so how are you and how do you cope. I have always had the attitude to just get on with life, but suddenly it all seems to be doom and gloom, anyone got anything positive they can pass my way. Many thanks if you have, at moment I feel so alone.