firstly do not get depressed this is not a life-threatening condition and may resolve with time. the symptoms may be troublesome for some time. how much are your resting and maximum heart rate? you should get yourself evaluated by a psychiatrist for anxiety and depression which i think is causing your poor quality of life. i assume all other causes are ruled out like thyroid low hemoglobin and postural orthostatic tachycardia syndrome. the echocardiogram is also normal i guess. in treatment it is better to continue medicines because results of ablation are not very good and it may give rise to a need for a permanent pacemaker. a pacemaker is also not a good option in your age group as strenuous activities and heavy sports need to be restricted after this. besides regular surgeries to replace batteries may be troublesome. so i think you should continue with medicine. i suggest taking beta blockers like metoprolol 25 mg once a day or ciplar la (propranolol) 20 mg once a day. this should be tried rather than ivabradine. consult your specialist doctor discuss with him or her and start taking the medicine after their consent. hope this helps you and get back if you have any doubts. for more information consult a cardiologist online --> <link>
i have inappropriate sinus tachycardia. should i get a pacemaker?