Hi. My name is Doug. I'm 70 years of age and was diagnosed with AFib a year ago. I'm on Eliquis, Bisoprolol and Flecainide and these seem to control my condition very well. I am usually very active although not much in the past year to to hip problems, but after a hip replacement 4 months ago I am just getting back on my feet. I'm hoping to do another multi week trekking trip in Nepal which would include altitudes up to 5,000 metres (16,000 feet). My last Nepal trip was in 2019 and I handled the heavy exertion and altitude quite well after training hard, but that was pre-Afib. However the new meds have slowed my heart rate considerably and I'm not sure how realistic this is. I'm thinking with my "pump" running at a lower speed it could be pretty difficult doing this sort of trip again. Would welcome any thoughts from others.