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NSR and pacemaker

I have a mitral reumatic valve remplacement with a mechanic one(SAN JUDE) many years with atrial fib.events electrical cardioverions and antiarrhythmic **************.Propafene high dose with Atenolol induced a cardiac pause5-6 seconds(AVnode disfunction?)  A dual chamber pacemaker was implanted .i continue the drugs treatment but my A.FIB SEEMS TO BECAME PERMANENT.I feel very bad breathless and more tired.there i anything to do   ...to improve my situation? To go back in SINUS RHYTM IS ONLY A DREAM???????????
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