I'm curious to know how those of you with permanent (or persistent) AF, experienced the transition from paroxysmal - assuming you didn't start out with a permanent condition. In 2009 I had my first episode with a second a year later. Then they were every two or three months and gradually they increased to one a week. Now I go into AF perhaps two or three times a day, usually only for a few minutes or maybe an hour. (Always 15 minutes after a meal!) I'm guessing that this is the beginning of permanent AF but would be keen to hear from others. I'd also appreciate reassurance, if you can, that the tiredness, lethargy and some breathlessness associated with episodes of paroxysmal AF, diminish somewhat once the condition is permanent. Certainly I have found that the longer my own episodes go on, the less I seem to notice them.