Heart failure

I have atrial fibrillation (up to 168bpm on holter) and about 145 bpm at daytime complicated with hard mitral valve regurgitation and left atrium enlarged more than 35 percents.
Which cure would you propose in my case?
I'm a 76.5 years' old woman.
Thank you for advance!

[kenkeith]

Often when there is AF it is recommended to install a pagemaker to prevent any very fast beats that can cause abnormal irregular rhythm and take blood thinner to help reduce stroke risk.

Option includes heart rate control with medication that include slowing conduction between upper chamber and lower chamber.   If you do opt for heart rate control then there are two methods that can be used:
"1.Drugs – Drugs are used to slow the conduction between the atria and the ventricles (at the AV node) so that the atria keep fibrillating at the same rate but the ventricles are activated less often.

2. Catheter ablation and pacing – If patients have decided on rate control but cannot be controlled on drugs either because they do not work well or they cause troublesome side-effects then the connection between the atria and the ventricles, the AV node (stabilizes impulse from the sinus node) can be destroyed by burning it with a catheter. A catheter is a small wire that is introduced with the help of local anaesthetic and passed up the leg to the heart".

It may be appropriate for you to simply control the heart rate and do nothing to get rid of the AF. Examples of patients who may opt for rate control are elderly, inactive patients without symptoms from their AF.

Hope this provides a perspective that can help you in consulation with your doctor.  Thanks for the quesiton and if you have any further questions or comments yu are welcome to respond.  Take care and I wish you well going forward.

Ken