@mtnmarge No I have seen three cardiologist actually. I chose the one who supports me staying off meds. I am absolutely fine 12-18 months at a time with no afib at all. Docs initially told me to go on blood thinners and I declined. Then the criteria changed and those same docs told me I had been right to decline! In my view, most docs will tell us to go on blood thinners even for infrequent afib, because there is liability if they don't tell us to do that. Unfortunately liability only applies in that direction. I am comfortable with an echocardiogram to check for clots after an episode, but I also feel that the studies on short term anticoagulation (1 week-1 month) should be put in practice for someone like me.