Had an episode of AF 3 months ago.Treated in hospital & reverted within 36h -back to normal SR but quite slow in 40's & even dropped to 38. Was on bisoprolol then that was stopped once reverted. They were a bit worried about tachy - Brady /sick sinus problem but HR back to 50s once bisoprolol out of system. 2nd bout of AF this week - started on bisoprolol (as pip) as was told to use if happened again. Saw consultant who prescribed bisoprolol 1.25 , flecainide 50mh bid & apixaban.
Reverted again at about 50 odd hours & back to SR of 45-50. Didn't take flecainide that night as was worried about HR dropping further. Will try & speak to consultant but a bit worried re HR on all drugs in case go bradycardic again. Once AF has resolved is it normal to stay on beta blockers/flecainide etc