Hi maryahs,
I am 79, have apical hypertrophic cardiomyopathy and presented with persistent Afib with rvr in March 2023. First on Metoprolol which caused fatigue and dropped blood pressure, then on diltiazem which did the same. In September I did the hospital loading of Tikosyn (dofetilide) and cardioversion. Have been in sinus rhythm since. It has only been seven weeks but so far so good. I was scared to do the loading, but there was nothing to it. Feel so much better. Good luck with your decision.

It was useless for me. Very disappointing. I am 84 and now in permanent a-fib. My first a-fib episode occurred in 2017 following knee replacement surgery, which I was very uptight about. Cardioversion restored rhythm. It had to be repeated 10 months later. Simultaneously I took diltiazem, then sotalol. When they stopped working, I was given Tikosyn and then amiadarone, neither of which worked. Finally I was given metoprolol, which controls my tachycardia pretty well, but I I am hardly back to my old vigor. I ride a bike, walk a mile or so, try to do what I can, but the old high energy and confidence are gone. I recently got a second opinion from a highly regarded EP, who feels it's too late to do an ablation, and wonders why my primary cardiologist didn't recommend an ablation when my tachycardia first appeared. I wonder, too.