Medicine without ablation for SVT or AF

For me, it would matter what "manage" means to me. If you are symptom free and tolerate the meds without significant side effects, then I would say it is your choice. If you have sporatic outbreaks that are disruptive to your life or require ER intervention, then I would not be satisfied with that. I think it is entirely personal but the most current understanding of A-fib for me is that if it comes and goes, it is scaring and spreading and then it is more difficult to control. I wanted it treated with an ablation ASAP. Also, I am older and I didn't want the docs telling me that I was too old to get an ablation so I could just live with it. In the end, you have to do what is right for you. Good luck.