This is also my understanding. There is some modestly strong evidence in the literature that the heart's size can reduce somewhat, even a lot in a few cases, once the arrhythmia is stopped and/or moderated a great deal. That was my thinking behind insisting upon an ablation, which I'm so very grateful worked on the second go. I have read numerous people claim that their atria have shrunk some, back to a near-normal size, while others insist it won't happen...and doesn't.

If I were you, I would have asked for clarification for his/her recommendation to cease the flec and metoprolol. But, it all depends on whether or not you are frequently in arrhythmia. If you're rarely in arrhythmia, then there won't be much remodeling going on, even if some is extant already. So, no need for medication. Keep the potency of the medication foremost for when you DO need it. But, if you're in arrhythmia two or three times each week, for years now, then I don't understand why the instruction you received.

@katiekateny
I think it is important that your EP and HF are talking to each other. Their treatments are so important to each other.

I am not familiar with watchman. Does it stop AFIB? Or does it just react to it. I am not sure how if removes stroke danger. AFIB means Atrials are not beating in sequence and not pumping like they should. My HF and EP says that can cause blood clotting.

Do you exercise? Has your HF advised of the importance of that to your heart health. I was able to keep my heart failure from getting worse (my heart was getting bigger and my EF was going down and down). Medications and exercise routine stopped the progression and had remained stable (but still very low at 25-30) but heart has stopped enlargement and EF remains stable. I am quite active and think that has played a big role in my HF treatment.

What is the status of your Afib? Are you still having events of Afib? I have read this a couple of times and it leaves us guessing as to what your status is?