Hi @spiderplant

For what it's worth, I'm 69 and have the same mild heart valve regurgitation as you. I've had at least 6 Reclast infusions, beginning around 2012, with the latest in 2024, and neither my rheumatologist nor my cardiologist has ever indicated that AF can be a problem with Reclast; they were more worried about the risk of spontaneous femur fractures due to the total number of infusions I've had.

My cardiologist, however, did clear me for the full 12-dose treatment of Evenity which reportedly carries a risk of cardiovascular issues. I have also done 9+ months on Tymlos. Based on my family's health history, I have an annual checkup and echocardiogram to keep an eye out for changes in cardio numbers. It might be a good idea to get a second opinion which may allay your fears.

Enjoy your day!

Cheers!