Yeah man.. If youve already attempted rhythm control its a good idea.
Pacemaker technology,has come a long way.. 6 week healing process then you wont know its there.. Just get followups every 6 months. The battery is good for about 10 years..
If you havent had a pulmonary vein isolation yet that can be a good idea as well.. But its actually a riskier procedure. If youve already had one though the av node ablation is the best bet.
Other providers recommend avoiding the pvi because of the risks involved.. In that regard theres 2 schools of thought when it comes to afib.. Rhythm control which focuses on attacking the actual afib.. And rate control which involves stopping the rapid heart rates. Im more biased towards aggressive rhythm control personally, but theres good evidence for both as a management strategy in different sitiations.
I think you've been on the forum for at least as long, if not more than I. In my 7 years with the forum, we've had what.... perhaps just a couple of people on here who were seriously considering AV Node ablation. It's a big decision, and of course there's no going back. Pacer technology is insanely advanced now and who knows what lies ahead in its technology. Listen to what everyone has to say, digest the information, and make an informed decision.