One failed catheter ablation in Jan 2023, massive worsening of symptoms in July 2023 clearly indicating vagal nerve involvement. My very nice cardiologist (Professor) recommends another cath ablation or drug therapy which I know will not work, e.g. can't breathe well after betablocker and developed extreme low BP (around 100 /50) while having a long history of orthostatic hypotension. Started to research for myself and inevitably found Dr. Wolf in Houston and Dr. Ohtsuka in Tokyo. Will have the Wolf Mini Maze in Japan ASAP because this is the only causal therapy available so far.
The medicine in Germany is generally pretty good while unbelievably behind the moon in some areas, truly big disappointment here, considering that A-Fib is the most common arrhythmia (one in four postmenopausal women will get it) and the risk of stroke is pretty high even with the novel (very expensive) anticoagulants. Too much believe in the guidelines as well.
Will report about Japan.