I was just diagnosed with MR and PAF with pauses over 2 seconds (one at 3.8 with junctional escape beats). I'm only 58, but Arrhythmia issues actually began in 2006. Eventually, I developed tachy-brady also. Recent diagnosis includes many long-term symptoms of fatigue, pre-syncopy and one bout of syncopy....pitting edema both legs, ankles, feet, face, fingers, wrists, and abdomen. I also have bouts of dizziness, confusion, irritability, and forgetfulness. I've been on 5mg of Bystolic for many years which has now been doubled in dose plus HCZT for edema once daily...which doesn't seem to be helping a lot. Recent holter indicated the PAF and additional issues despite use of Bystolic. I also have TR, flushing and sweating episodes frequently, and was diagnosed 2 years ago with Fibromyalgia, Psoriasis over 4 years ago. (Quality of my life has simply continued to go downhill.) My heart doc thinks I probably have an auto-immune disease in addition to all this---oh, yippie! At what point should I be concerned here??? Will see heart doc again in early July to go over holter, echo, etc. Is all this just going to get worse and I will need ablation or pace maker? My mom died in early 70's just 2 years ago from MR and A-Fib. My dad died at my same age from a pulmonary embolism. I'm really starting to worry here. Have a long-standing rash across both cheeks, so I'm also worried I may have Lupus. I feel very alone in all this. I also feel pretty confused.