Hello, I am new to this forum and I must say I have found it a great help. I have been diagnosed with AF and have had five episodes since July 2013. I have a number of concerns and wonder if anyone can help. I was originally prescribed Bisoprolol 2.5mg and over a short period this was increased to 5mg. As a result my bpm dropped to 39 so was taken off the drug. Since then I have had an ECG and was fitted with a 24hr monitor that showed (to quote the report) "episodes of sinus bradycardia and of svt. Junctional rhythm and 1 slow ventricular couplet". The report mentions 'Brachy/Tachy syndrome. Without any other treatment or drugs being offered by my cardiologist, I am now on the waiting list for a pacemaker. Having read a lot of information on this site I am somewhat confused that I seem to have gone from A to Z in one swift moment without consideration of alternatives. Furthermore as I appear to be 'low risk' on their grading scale, I have not been considered for any anti-coagulants. I would appreciate any advice as I am returning to my GP in a couple of days to try and get some answers/explore alternatives before the pacemaker is fitted. Has anyone else had a similar story and diagnosis?