Hi I am 86 and was diagnosed with SVT in Jan 2017 - my heart rate was 150. Then I was told I was a-flutter/a-fib. I was over medicated (metroprolo, digoxin and Diltiazem) and my rate came way down. I was told I needed a pacemaker, then I was put on Diltiazem only - which wasn't enough and my heart rate is 130/140. After complaining about shortness of breath and swollen ankles and feet, I asked to take lasix, she said no "she is not a fan" and she didn't have time to see me - well, then, I went into congestive heart failure, and went to the ER. They got rid of the fluid and my rates were 130/140's. Again they said I need a pacemaker - which didn't make sense for a high heart rate. I went in for a pacemaker and the surgeon said I didn't need one (!?!) that I had a fast heart rate and a-fib. A pacemaker will not cure a-fib (as we all know!) I was put on 200mg amiodarone. She did not give me a "loading dose" and it basically did nothing for me. I elected to stop it (due to the toxic side effects), I paid to go for a consult with an outside cardiologist who said to get off amiodaron immediately and try Sotalol. THEN MY cardiologist said that Sotalol causes CHF (!?) and did not want to give it to me. I am now on 120mg sustained release of Diltiazem, my heart rate is around 80. BP 120/60. I have an appointment with an EP this week. Hope to gain some direction of what is next. Getting tired of trial and error and slipping through the cracks with cardiologists that don't seem to care. Even though I am 86 I still have a lot of life to live! Any advice? Oh by the way, I am (and have always been!) asympomatic (aside from shortness of breath in occasion), have a tissue mitral valve and had the maze procedure, and am on Warfrin. Appreciate input!