Hello and thanks for writing in
Ablation surgery is the choice of treatment if all medicinal treatment fails to control palpitations. In addition to this you must go for holter study and consult your cardiologist whether you need pacemaker with ICD to control flutter and palpitations both. In flutter and palpitations some time ICD devices helps to control these with full dose medication. Pacemaker will take care of bradycardia
. But this all depends on holter report. Consult your doctor for that.