I found it very interesting to see this question because I am scheduled for an AV Node Ablation TODAY! I have had a pacemaker for 4 years. As jimhealthy said, a pacemaker will not cure AFib. I have had 4 episodes of AFib since my pacemaker. None of the meds worked for me. While I decided I would go with a PFA, my doctor said I am not a good candidate. He has recommended the AV Node Ablation for months. Right now I am not in AFib; I had a cardioversion last week. I know, however, that AFib will return in the atria (but not the ventricles) and that I will be pacemaker dependent. So, I appreciate everyone's experience. I hope I do not have the flutters that focci has had. After I get 'settled' with this ablation, I will share my experience.