On Feb.2, 2016, at 73, I was diagnosed with atrial flutter. My GP, for three months, put me on Metropol (which did not agree with me) and Riveroxaban . Due to miscommunication, I came off those meds and remained only on Rampril for high blood pressure and aspirin (My GP, due to diagnosis, immediately took me off hydrochlorozide), On April 5, 2016, I had an echocardiogram recording no valve problems. From May to September I had one irregular heartbeat episode a month lasting 2 or 3 days. On September 27, my EKG recorded atrial fibrillation. Beginning October to present, I have spiraled down rapidly with 5 episodes in October, 3 in November, 7 in December, and 3 in January , most lasting from 3 to 4 days , and with the last one beginning January 13 to today marking day 34 in persistent atrial fibrillation. Despite being prescribed Verapamil 120mg on Oct. 6, I began taking it on November 28. When I met with my GP a month later stating I was alarmed that I was 3 ½ days in afib and 3 ½ days in sinus rhythm, his answer was that it was the Verapamil working but he did not refer me to a cardiologist. I did ask to replace Rampril with Lisinopril since I had been on the former for years. On my last appointment on January 23, and in persistent atrial fibrillation, my GP has finally referred me to a cardiologist for an evaluation and upped my Verapamil to 180mg in the hopes I may convert to sinus rhythm, plus he wonders whether the blood pressure medication switch may have triggered persistent atrial fribrillation. Just to see the cardiologist will be day 54 in afib. My questions are did I spiral too rapidly and how much damage is being done to my heart as I wait in persistent fibrillation?