@diane07710 Hi, Diane. What was the rationale given to you for the PM? I can see an ablation, especially if it's likely to work on your arrhythmia, and because you are so early in the progression (you're not in AF all the time, just more often, but it does self-limit. That means it is 'paroxysmal', or the first stage....exactly where every AF patient WANTS to be!). But, if your HR is in normal range pretty much all the time, your ejection fraction is good, your BP is good....why the PM?