This is a discussion you should have with the doctor performing the procedure, as success and complications vary by an individual center's experience, and particularly with the volume of procedures performed. In general, after a single procedure 70-80% of paroxysmal atrial fibrillation, and 50-70% of persistent atrial fibrillation can be eliminated for 1-2 years without the need for additional medications. Major complications include stroke, perforation of the heart or blood vessels, esophageal fistula, and death. In experienced centers these risk are no more than 1-3%

Both drugs belong to a group called beta blockers. The drugs differ by how long they remain in your system and how they affect organs other than your heart and blood vessel. Patients differ in their sensitivity to the various types, and bystolic may have fewer side effects for you. The best drug for you depends on your other medical problems, and needs to be evaluated by someone who knows your specific situation.

Weight gain is uncommon with multaq. If the weight gain is due to fluid retention, you may also notice swelling or "puffiness" in your ankles or hands. You may want to have your doctor evaluate this.

Whether or not to have additional ablation depends on many factors, and also on your goals. A major consideration is how you feel. Does the AF at this time disrupt your life or make you feel poorly? Depending on what other risk factors you have for stroke, you will also need to take into account prevention of stroke. If you have no other risk factors, aspirin may be sufficient no matter how frequent your atrial fibrillation. You need to discuss with your doctor the specific aspects of your situation to answer your last question correctly

While everyone searches for a specific trigger for each episode of AF, it is uncommon to find a specific single cause for most episodes. It is unlikely that wheat products are responsible for your AF

You have clearly tried many of the common treatments for AF that have not worked for you. While lifestyle changes may have some benefit, there is little evidence that dietary supplements will be useful. The best course for you may be to have another physician evaluate your history and the specifics of your previous procedures in detail. They may be able to identify something specific that has not been previously done that could be helpful. A surgical approach may provide success when catheter procedures have failed, but the specific approach is very important, and you need to discuss with the surgeon what will be done that differs from what you have already had. While the AV node ablation and pacemaker may improve symptom control, I would agree that at your age it is a last resort when other approaches have been exhausted or considered unacceptable.

Multaq and Levitra do affect one another, and Levitra is best avoided during multaq therapy

If I understand your question correctly, you have diabetes, hypertension and atrial fibrillation. Current information indicates that your risk of stroke is significant, and the most effective prevention in this situation is coumadin. The potential beneficial effects of fish oil, ginko etc on stroke prevention have not been proven in scientific studies.

No there are no filters that are place in the heart or in the arterial system because those filters tend to form blood clots on them and if one dislodges it can cause a stroke, or block a major artery to the gut or limbs, or a major organ.

In some people AF seems to develop from specific triggers such as at night rather than daytime, related to caffeine and other stimulant intake as well other medical conditions such as thyroid dysfunction. Removing the triggers through lifestyle modification, and treating underlying medical conditions can sometimes prevent AF from returning. Supplements often contain non disclosed components because their overall percentage in the product is so small that it is not required to be mentioned, yet these components can include stimulants, so the use of only very specific multivitamins is recommended and other supplements should generally be avoided because their content is often not entirely known. In the medical community we rarely say AF is “cured” because there are so many common factors that increase tendency towards AF, such as simply getting older, high blood pressure, diabetes, heart disease, and other common medical problems – so if someone has AF and lifestyle modifications help prevent a recurrence for a period of time, and then AF returns for some other reason, then from the patient’s perspective it wasn’t “cured”, because their expectation is that it will never return. Sometimes a “trigger” of AF is an extra beat or another heart rhythm that then gives rise to AF – having an invasive procedure to “ablate” or burn away the areas from which the precipitating extra beats or rhythm originates, may be reasonable to prevent further AF occurrences, if medications and lifestyle modifications have not worked. What we know is that once someone develops AF, for whatever reason, even if it is suppressed that person has a higher likelihood of developing it again in the future because there is something about that patient that allowed him or her to develop AF in the first place.