Excessive tiredness

Hi I am wondering if anyone suffers from excessive tiredness, through atrial fibrillation , 2 yrs ago I had my 2nd pacemaker fitted, approx. 10 yrs ago I had a pm fitted followed by av node ablation, which for many years has being very successful in controlling my condiction, however I am now and have being in permanent af for several yrs even after treatment, has anyone else being in this situation and what have you done. My heart its self is structurally fine as I have just had a echo, however on the ecg it showed a left bundle branch block, my bloods have being checked , all results in normal range, I have a appointment with the consultant in 2 weeks time , would love to hear of other peoples experiences thankyou


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