Hi Thank you for trusting HCM I read your query and understand your concern Unfortunately the always of treatment aren t the same thing Ablations is efficient when cardiologist are sure that your atrial fibrillation is caused from a new node and ablation permanently resolve it Pacemaker would be the best option when you can t dominate your cardiac frequency. You need to give us more information or your last examination so we can be more helpful. Wish you good health and fast recovery Hope my answer had helped you Don t hesitate to contact me for further information or clarification Regards Dr Drilona Kenga Cardiologist