Im not a big fan of taking Tikosyn out side of persistent or long standing persistent AFIB after a cardioversion as an attempt to recover NSR, if possible, for some period of time ... which is what Tikosyn is generally meant to do.
Taking Tikosyn post ablation, especially if the AFIB is still paroxysmal, makes even less sense to me. And an EP prescribing Digoxin in this day and age for AFIB, except under the most unusual circumstance and only short term, would equal a deal breaker for me for sure!
We can talk more about this in detail Daniel in the coming days as I gradually get back in the saddle here after my eye surgery this past Monday.
Cheers!
Shannon