Atrial fiblation

Dear Dr.I am 49 yrs old man.Iam having irregular heart beats for the last two years. Now Iam on aspirin and caderone but it did not help much. My last 24 hotter shown:Heart beats: Min 48,(for 6 min) max 164,(few seconds) average 76, 5117 beats in tachycardia, 13363 beats in brachycardia. SUPRAVENTRICULARS: 7593 isolated, 25 couplets, 766 bigeminal cycles, 16 runs totaling 48 beats. VENTRICULARS;192 isolated, couplets, bigeminal cycles, runs totaling 0. GENERAL: 106220 Qrs complexes, 0 pace beats, 102 ventricular beats, 7681 supraventricular beats (7%),BB,Junction, Aberrant beats 0. AF/AFL total 12%, less than 1 % total times classified as noise. I am also having (on and off) for chest pain and reflux(. My doctor recomended me for pacemaker or catheter albation.Iam confused.
Iam waiting for your reply.

Thank you, Johanen

[CCF CARDIO MD - DLB]

In my other response to your question I did not realize that you were in atrial fibrilation. If that is the primary problem, catheter ablation and pacemaker placement has a role in symptom relief, if medical options have been exhausted. This combination of procedurs may help your symptoms, but does not decrease the risk of stroke from atrial fibrillation (only blood thinners do). An evaluation by a cardiac electrophysiologist would be useful to determine if you would benefit from such a procedure.