A recurring question is under what circumstances one should go to A&E when in AF.
I have made a list of typical answers, not quotes:
Only if you have chest pain or faintness as this is a chronic condition.
It is not worth going because they only monitor you for hours then send you home with no treatment.
My GP said I should go so they can zap me.
My cardiologist was cross that I did not go sooner as he said a long episode of fast AF can weaken the heart.
1, 2, 6, 12 hours etc.
You must go before it is too late to cardiovert you if you are not anticoagulated.
AF won't kill you so don't bother the hospital.
The wonderful ambulance crew said I should always call.
The A&E department were fed up with me and called me a frequent flyer.
One thing is clear, we are confused! Of course people have different circumstances which may lead to specific instructions for them but it would be good to know if consultants agree on a general rule (I know Bob has quoted Prof Schilling on this but some people's experience has been different). I was struck by the comment that was quoted recently that continuing in PAF can strain the heart, also by PottyPete's sad report of heart scarring caused by years of AF.
If there is really no one size fits all answer, which I suspect is the case, then it seems one of the most important questions to ask our cardiologist/EP is when to go to hospital!