I take low dose Metoprolol (25 mg) to keep paroxysmal Afib at bay but once or twice a year it pops up. When that happens, I take an emergency dose of 50 mg. That had always worked in the past, but this time it didn't. I also have gotten Afib from anxiety. When I was diagnosed with prostate cancer I went into Afib four times in one week just from being at such a high anxiety level.

Now they want me to see an electrophysiologist and possibly do an ablation. It seems East Coast doctors are much more aggressive than when I lived on the West Coast. The couple times this happened when I lived in California they just gave me propofol, cardioverted me, and sent me on my way two hours later. Here, they want all sorts of tests and followup.