I still feel quite confused about paroxysmal/persistent/permanent. Diagnosed 3 years ago with paroxysmal and up until 3 or 4 weeks ago I would have an episode maybe once or twice a month and it lasted 2-3 hours. Over the past 3 weeks these episodes have become daily and can last 6-7 hours. I am conscious of my heart beat and my fitbit indicates that my hr is bouncing between 58 and 90 BPM. I take 2.5mg bisoprolol daily but am now taking another 2.5 mg when the episodes occurs which is usually ear!y evening. Does anyone else have these daily episodes and am I still in the 'paroxysmal ' category? I have never see a cardiologist since diagnosis.