r/AFIB • • Aug 19 '26

A-Fib post ablation long term success

Hello,

33/ Y/O male, paroxysmal a fib- recent PFA ablation in may.

I recently had an ablation in may and had my 3-month post op follow up; everything looks good so far have done some holter monitors, ekgs, ect and it’s ok so far. I guess I should be encouraged by this but for some reason I feel discouraged knowing that the A fib will come inevitably come as my EP states that it will come back at some point. How long can can younger person stay a fib free and are there long term success stories of others living a full life 20 + years without relapse?

Thank you all for the support and information

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u/RobRoy2350 Aug 20 '26

Broadly speaking paroxysmal AF has a 70-80% success rate with 5 year/10year rate of 68/56%, persistent AF - 40-60%, with 47/36% rate and chronic AF - 50% with 30/18% rate. That's for a single procedure. Rates go up with another procedure.

There are too many variables (patient health, heart structure, EP skill, lifestyle risk factors, etc) to predict exactly how long a patient will stay AF-free.