Thanks for asking in. I am a qualified and certified cardiologist. General answer to your question is chances of recurrence of AF are finite (up to one third of cases do recurr. This is a round up median figure and depends upon how long the arrhythmia
was present and which methods is employed. Brief answer to to your second conditions is : In certain situations (for that you will have to upload EKG with atrial fibrillation
and other details, yes a patient in similar situatoin do require Permanent pacemaker with ICD. Indications for transplant are different that depends on echocardiogaphic assessment of EF; as I am not privy to details it is difficult for me to give you any opinion. Therefore, please give more details of illness to get a complete answer. Good luck.
Regards and Best Wishes
Dr Anil Grover,
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)