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I have had three cardio versions over the past 2 -3 years. They were effective for a period of months each time varying from 6 months to almost 9 months. I understood in advance that these situations can vary. No down side during these times but very effective overall . The 4th one was a few weeks ago but that failed so I am now exploring alternatives with my cardiologist.
However after the first one I was told to immediately avoid alcohol, chocolate and caffeine for 30 days until the first medical follow-up. I was also advised to eliminate these going forward. I did what was requested and have stayed on that track. Not easy at first by any means and decaffeinated drinks aside from juices and water are very hard to find.
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I have heard the same statistics; cardioversion can be a one-and-done, but most likely the A-fib can reoccur. I also have made all the lifestyle changes--lost 6 pounds (mostly out of worry! 🙁 and drink only 1/2 and 1/2 coffee (half decaf, half regular) and I found some non-alcoholic wine at the store so my husband doesn't lose his Happy Hour buddy! No chocolate. Sleep only on Rt side or on my stomach--you can look up how your sleep position can trigger A fib. I go to the gym for 1.5 hours every day and I admit I feel the best there! I hope you keep looking for a more permanent solution. I see certain teaching hospitals in DC and Texas are working on new ablation techniques with encouraging results. I feel like you; I am wanting to stay in rhythm as long as possible. Good luck!