Reminder about the Community Guidelines https://connect.mayoclinic.org/blog/about-connect/tab/community-guidelines/ and maintaining respect.

@the and @gloaming, I'm confident that you both want to help and support members who have questions. Thank you for sharing your experiences. Sometimes our experiences differ and the guidance we receive from our cardiologist may differ. That's why Connect is so valuable to share situations, solutions, and support.

@gloaming, thank you for providing some references.

@the, your're right that not all specialists use the term "prgressive". Some may use different terms like these described on Mayo Clinic https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624

Excerpt:
- Occasional, also called paroxysmal atrial fibrillation.
AFib symptoms come and go. The symptoms usually last for a few minutes to hours. Some people have symptoms for as long as a week. The episodes can happen repeatedly. Symptoms might go away on their own. Some people with occasional AFib need treatment.

- Persistent. The irregular heartbeat is constant. The heart rhythm does not reset on its own. If symptoms occur, medical treatment is needed to correct the heart rhythm.

- Long-standing persistent. This type of AFib is constant and lasts longer than 12 months. Medicines or a procedure are needed to correct the irregular heartbeat.

- Permanent. In this type of atrial fibrillation, the irregular heart rhythm can't be reset. Medicines are needed to control the heart rate and to prevent blood clots.

@the, sounds like you're managing your a-fib well with a mix of treatment and lifestyle. Does the Pilates also help with fatigue? What did you learn from your EP and cardiologist about your a-fib?