Answer: You should definitely see an electrophysiologist to get an opinion. There are many options, depending on how long your AF has been \"persistent.\" Probably starting with a cardioversion and anti-arrhythmic drug such as dofetilide makes sense, to see how much better you feel in normal rhythm. If you feel better then ablation is an option. Standard catheter ablation may be fine, depending on how long you have had AF and how enlarged your atrium is. Near Maryland I can suggest the following: Timm Dickfield at Univ of Maryland, Hugh Calkins or Ron Berger at Johns Hopkins, Frank Marchlinski, Matt Hutchinson or Sanjay Dixit at Penn. Good luck. Let me know if I can be of further help.