@sandrah2024 Yes, I can relate. I am highly symptomatic with AF, but fortunately my second ablation has me stably in NSR for 33 months now. Before the second ablation, people told me I looked gray. I felt it, too.

We all have one, two, several triggers that set off our AF. For me it's adiposity and stomach distension, but also unique stressors such as purchasing a vehicle. That experience is what set me off the last time.

You might wish to investigate Vagus nerve tonality and the Valsalva maneuver. There are two kinds of AF, Vagus and adrenergic (really, they're just two arms on the same body). The adrenergic response gets us wound up, ready to deal with danger. It's more widely known as the sympathetic response. The parasympathetic response is managed by the Vagus nerve, and it's the calming effect. Some people's Vagus nerve loses tone and this encourages arrhythmia.