@stan52 You are welcome!

Amiodarone is 'the big hammer', the big bully of all known and currently approved anti-arrhythmic drugs. It's so potent, unfortunately that doctors don't like to use it, or they use if as sparingly as possible to minimize potential risks to the patient. After all, each monitoring assessment isn't free either, and adds to the cost of keeping the patient healthy. Amiodarone requires frequent assessments, at least in the early days, to ensure the patient is doing appropriately and not developing unwanted side-effects. So, while it's a whopper of a drug, it's also effective...was on it myself for about eight weeks four years ago. Didn't want it, wasn't happy, but I was a LOT happier on it than off it due to my symptoms and horrifying ECG outputs when off it. You should not be on it so long, Deo volente.

I don't know enough about you, or about the career experience of the prescribing physician, to say there's a better fit for you among other anti-arrhythmic drugs (AADs). I would say the heavy majority of arrhythmia patients are on propafenone, flecainide, maybe Tikosyn or Sotalol...or even just on diltiazem which does a great job for some. Why amiodarone for you? Dunno, but if it's working and you are quite secure in that it won't be for long, maybe leave well enough alone? But the question is important, and the other person needs to answer it to your satisfactory understanding.

People swear by probably 60 known triggers, each person with the list they swear by, and they're all a bit different from one another. Some develop AF and stick their heads in a bowl of ice water, plunging, to break the arrhythmia. According to them, it works most of the time. Some try the Valsalva manoeuvre and it mostly works. Sometimes belching helps to relieve it. Some pace around their garden until it stops. Will heat set it off? Yes.............for some................sometimes. So will acid reflux, alcohol, some swear off all sources of caffeine, some find it's low levels of magnesium or potassium in their diets, getting upsetting news. As I wrote the check on our newly purchased Highlander three years ago, my heart started the thump 'n bump. So, stress, worry, anxiety (the gift that keeps on giving), a startling bang, waiting for that dreaded phone call....you name it, it's on someone's list.

BTW, many ablatees for AF soon find they are in AFL, so it's a common outfall from being catheterized for AF. Fortunately, that kind of flutter is easily treated, almost always with a second ablation. No, it's far from ideal, but if it does happen, it's the catheterization that must have set it off. Add that to the list.