Sort of confused about disputing a "mild Afib" dx.
If it's persistent/constant then yes, it seems it's a matter of either/or.

However, paroxysmal Afib can have quite a range of frequency, how long episodes last, how symptomatic (subjective) and how extreme the tachycardia and/or bradycardia can be.

My Afib occurs at least several times a week, and (unfortunately) it's lasting increasingly long. Besides that, I'm having it more and more tachycardic.

As for the actual dx of persistent vs paroxysmal, I've heard (from cardiologists) it's switched to a persistent dx if it lasts either a week or two weeks. Well, WHICh is it?

Thinking I need to see a new cardiologist. For me this is somehow nerve-wracking , since there aren't many to choose from locally and I don't want to alienate a long-standing doctor. Also, there are rules about whether and when one is allowed to change to different cardios within a given practice (generally, only if one hasn't seen a particular one for two or three years).

Besides that, I'm not entirely clear which kind of cardios I should see - EP, general cardio, or a still different type.

I just spent hours scanning all the cardios in the Hershey PA medical school - the nearest large medical center to my home, (driving distance is an important factor). It looks like some are listed as specializing in EP AND arrhythmia, and heart failure. Also lipid disorders.)

Not counting surgeons who specialize in transplantation or other surgical procedures. So many combinations.

The only ones I can for sure eliminate for a switch are pediatric and newborns!