Hi All I’m a 68 yr old female in permanent af for 3 yrs now. Cardio version failed and I opted out of having another because of the side effects from the drug they wanted to put me on. I was told by ep that I wasn’t suitable for ablation. I’ve has very little problems until recently whereby I’ve been having palpitations/fast, irregular heartbeat that are waking me awake at night and leave me feeling unwell the next day. My question is although I have permanent af can I still get ‘episodes’ where it seems to go out of control? After many trials with different drugs in the early months of af I am now on diltiazam and xarelto. Any help or advice would be much appreciated, especially as I am due to fly off to Hong Kong in 3 weeks time!