Are you taking anticoagulants? Nothing to worry about if you are I would have thought. Plenty of people have permanent AF and are asymptomatic including my husband.
The first thing they do with AF or AF paraxsman (as I have) is to put people on blood thinners, aspirin are not enough. I am surprised you are not on anti coagulants, do you actually have AF is the question here.
Ive had paf approx 35 years and asked ep 2 weeks ago , again , for anti coagulant , chads score 0 , he says no , not until im 65 , 2 years away, i would feel much safer on them.
Please do not scare people from anti coagulants, they are Proven as regards strokes. My friends husand had a stroke as a result, 8 years unable to speak or walk just move one arm until he passed away, the stroke make a huge clot formation that went into his brain, was unconscious on machinery for 3 months initially too.
His wife often says since, if only he had been on anti coagulants.
A.coagulants, are by far the best preventative for people with AF, Bisoprosol which i am on a very small dose, does less if stroke occurs. All meds have side effects, but AF can cause clots as we all know and its these clots that cause mainly strokes.
I would agree with everything that’s been said. Here in the UK, medics say that aspirin should not be taken for AF although there are other heart conditions where it can be beneficial. From what we are hearing on the forum, this opinion is also becoming more popular in the States. Google CHADsVASC and see whether or not you should be taking an anticoagulant. Although there are cost issues in the States regarding prescribed drugs, inappropriate use of aspirin can do more harm than good….
Otherwise, you are very fortunate and long may it continue.
Is your watch telling you that you are always in Afib , like 100% of the time? If so, you are no longer paroxysmal and are either in persistent Afib, or permanent, depending on how long you’ve been like this for. You are also asymptomatic which means you don’t realise you are in Afib. Some people don’t realise they’re in Afib, whereas others really know ( I know I do)
What rate is it at? You may not have been in Afib when you had your ops as I’m sure they would have mentioned this to you at the time. Afib is often ( but not always) a progressive condition. Depending on what rate it is, you may need to adjust your medication. As others have said, you do need an anticoagulant. A cardiologist or GP should prescribe this based on your risk /stroke and they use something called a CHAD Vasc score? Aspirin isn’t an anticoagulant and won’t prevent a stroke. Your GP may not have realised you were in Afib at that time perhaps?
I think you would be wise to make an appointment to have your current situation checked.
Some people have asymptomatic afib. So if by "fix" you mean ablation or drugs -- the risk/reward is just not there.
What you have may or may not only require a thinner/anti-coagulant, depending on your risk score. You should be evaluated, however, by a cardiologist or ep periodically, just to make sure that things, otherwise, in the heart are in good working order.
Thank you everyone, my heart rate is around 75 to 85 , never goes much over 110 even with exercise - maybe i have a strange rhythm and not afib anymore ?
I do think it’s likely to be persistent or permanent Afib, especially as your watch has told you that ( the Applewatch is very accurate) bisoprolol has bought it down to that level.
It’s entirely up to you, but ideally you should see someone about the change from paroxysmal and what you may need to do going forward ( especially regarding the aspirin).
I'm in afib at the moment but with a pulse rate of 57 but it still all over the place like 6 slow ones then 5 fast ones but mine does affect me with dizziness and breathlessness. I think I'd probably just get checked out.
Sounds like you're in persistent AF to me. And it's great you can do all the things you need. I was told by my EP that many are more comfortable when in persistent AF as the body systems adapt.
I too have AF , I am on adizem SR and flecanide but no anticoagulant at present as CHADS score is 1 and that’s cos I’m female & no other medical issues. Apparently as long as things stay that way then no anticoagulant until age 64 …. So got a few years yet . That advice is recent by cardiologist & Gp. 😊
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I’m in the same boat … 5 years away for me
An update...
Positive thoughts about having an AV node ablation. 
Saw an EP after waiting so long….
What's the best Heart Monitor?
Just an annoyance ?
