I was diagnosed with PAF about 7 years ago. I am taking Rivoraxaban, Bisoprolol 2.5mg twice a day and Felodipine 5mg. In the main I am managing my AF reasonably well. I have been offered an ablation, but refused on the basis that I don’t think that I am symptomatic enough for such a drastic procedure. My cardiologist agrees with that. He did refer me to an EP who was willing to do the ablation, but I declined. I have private healthcare and sometimes you have to wonder if the suggested treatment is really needed or just about money. I know the triggers for my AF, but am still learning. When it started it always wakes me during the night. Never starts during the day. Last night I was woken about 4am and felt that AF was about to start. Hard to explain but my heart felt like it was racing , but is wasn’t. I have a clinically validated BP monitor that also shows if heart rate is irregular. My BP was sky high which is normal for me when in AF. The monitor did not show that my heart beat was irregular and my heart rate was 59. Usually when in AF since being on Bisoprolol my heart rate usually averages about 110. Cardiologist has advised my to take additional 1.25mg Bisoprolol when AF starts and another 1.25mg an hour later.
Last night I had all the usual symptoms such as keep peeing etc. However, my heart rate was 59 and not irregular. I couldn’t take the additional 1.25mg because of my lowish heart rate.
I guess, my question is has anyone else experienced this. I can only describe it as AF but not in AF if that makes sense.
I hope that I have explained it all properly and would appreciate any thoughts.