I really feel for you. This kind of decision isn’t easy, especially when you’re facing it mostly on your own. It’s good that your EP is confident and experienced with PFA, but I totally get your fear about strokes.

Are you on a blood thinner of any description? Some people manage okay in long-term AFib if their rate is controlled and they’re on anticoagulation. Others feel pretty awful and do much better after something like PFA.

There’s no easy answer here—it’s about what gives you the best quality of life and feels least unsettling. Whatever you choose, it’s valid.