I was diagnosed with AF (Flutter and FIB) in 2016; to ER and converted. Similar experience in 2017. A Cryoablation in 2017. AF free after two months blanking period and about 6 mos later my EP took me off Elliquis and onto 81mg aspirin. SOme minor infrequent AF episodes staring in 2021 but nothing longer than 2 hrs. Some studies suggest aspirin is not effective in preventing AF stroke so I expressed concern to EP who suggested I try 'pill in a pocket" approach and take Elliquis if episode exceeds 4 hrs. My AF symptoms are noticeable and I use Iwatch to monitor for any arrythmias. Had a lot of ectopic beats in 2024. EP said these should not concern as everyone experiences them. I was not convinced and I read that ectopic (PVCs and PACs) may be associated with paroxysmal AF. anyway EP mentioned in passing that I should check my thyroid hormone level and after lowering levothyroxine doseage the AF spells and ectopic beats have ceased. THis is my experince which may not apply to others but if you havent chased this issue I recommend you do. A couple of recent studies -OCEAN and RESULT-AF have shown that DOACs (Elliquis et al) may not not reduce stroke risk for those Post Ablation. I suggest that you read these studies and discuss with your cardiologist.

Also there's much medical opinion that one should ablate sooner rather than later as AF burden will continue to increase.There are many excellent youtube videos about ablation and new pulsed field technology is safer.

BTW, I cycle a lot and while taking Elliquis I felt sluggish and was also concerned about bike accident and bleeding so was glad to be taken off Elliquis (My Ep is also a cyclist.) I'm 77.