Diagnosed with AF in December after trip to A&E with heartbeat of 180, I did have two episodes previously but never went to hospital but this time I was frightened. After 18 hours I was discharged with 1.25 Bisoprolol and Pradaxa. On reading the leaflet when I got home I didn't take the pradaxa as I had a previous gastro bleed (black stools) in July, I did have an endoscopy and colonoscopy and they put it down to aspirin. To cut a long storey short I had an echo cardiogram and a 24 hr monitor, heart was OK and monitor showed a slow heartbeat off around 40, I then paid privately to see an EP and he said I must go on antigagulants and he reecommended Rivaroxaban with the Bisoprolol, he also recommended a pacemaker but I couldn't give him an answer as it was a shock. He then said he would put me on his waiting list and see me in two months for to discuss again, I have to see him next week.
I am no nearer a decision, my heart beat is still the same and wonder if I came off the Bisoprolol and stayed on Rivaroxaban would my heartbeat go back up, I have always had a low heartbeat around 50-55. Also think would it not be better to try another drug before fitting a pacemaker, I just seem to be spending my life worrying about gastro bleeding and whether I should just trust EP and have a pacemaker fitted. He didnt seem to want to do ablasion although he said he did over 300 a year but decided pacemaker for me. Please could anyone help that has had one fitted and why, I have been reading all the posts and pacemakers are not mentioned very often, also do you think I should be on antigagulants with my history. Any advice would be greatly appreciated (have had no AF attacks since Dec) also always exhausted and I used to walk around 15 Miles per week and was very active, by the way I am 67 years off age, thanks again