I've just been for my follow up appt and have seen yet another cardiologist. The 1st (in a&e) said I didn't have to take anything if the symptoms didn't bother me and I was at no more risk of stroke at this time so didn't need anticoagulant. The 2nd one said I had a slightly enlarged left atrium, gave me 100mg as a pill in pocket and referred to the Cha2ds2vasc score and said I didn't need anticoagulants yet. The 3rd said that I need to take anticoagulants as the cha2ds2vasc score is for people with permanent AF not for people with PAF as they are at higher risk of stroke. I've never heard or seen anywhere that states that and was wondering if anyone else had. He also said I was having to many episodes to be on a pip. Currently my episodes can be around 3 weeks apart for several months but then I have periods where I have none for a few months. This has not change between seeing these doctors so why such a difference? And how do you decide who to believe? The last one also said he thought my left atrium was normal. It has all left me very confused!!