I was diagnosed with AF in 2004 which is persistent. I had an angiogram (two minor 1-49% areas on report), and ablation for flutter in 2004. My major drugs have been Flecainide and Bisoprolol (rate). Each year I have had periods of AF, but these have been exceeded by longer periods of SR. Bisoprolol at 5mg has always slowed me down , and around two years ago I initiated a review with my GP to reduce it. The net outcome was that I am on the 2.5mg tablet and in continuous AF since around April 2018. Last year I arranged for a 24 hour and 48 hour ECG. The latter showed an average heart rate between 51 and 128 bpm. The former showed 51 and 103 bpm. At all times I was in AF. I had an Echocardiogram in November with the comment ‘your heart is working fine.’ Last Monday I walked 4.6 miles at an average 3.4 mph over mixed terrain, and Tuesday I swam 28 lengths in a 25metre pool all in AF.
I like to meet things head on, and I have found with AF there is no consistency of affect, and quite often knowledge. At the moment I am carrying out an experiment to see whether continuous AF is equal to, or better than, persistent AF for me. At 76 I am aging but at least now I can chase after my grandchildren which I could not do on 5mg. I would be interested if anyone else can add to my knowledge regarding this experiment. Are there any latent risks I am over-looking?