On meds?: Is she taking antiarrhythmic medication now - even if it failed previously, it often works after an ablation. Tikosyn (dofetilide) is particularly effective. A pacemaker will not restore normal rhythm. She'll still be in atrial fibrillation but her rate will be made regular by AV node destruction and pacing. It's the very last resort. Finally, a 4th ablation may well work if the others haven't.
Answered 6/12/2014
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