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It always progresses. If you read any information on the disorder, including at the Mayo site(s), it states early in the description that it is a progressive disorder of cardiac function. Each person is different, but they all eventually come before their cardiologist in time and state that they're getting more and more breakthrough episodes. When that happens, medications must change, or you'll have to consider mechanical means of controlling it.
https://pubmed.ncbi.nlm.nih.gov/33516398/
Replies to "It always progresses. If you read any information on the disorder, including at the Mayo site(s),..."
Progression (worsening) of paroxysmal atrial fibrillation is NOT inevitable.
There is only ONE published clinically-controlled study of the temporal patterns & progression of paroxysmal atrial fibrillation--&. not surprisingly, it comes from research conducted in Europe (under the auspices of the European Cardiology Society), which has a very different perspective on the subject than the American Heart Association, which seems at times to be little more than a shill for...interventional (read: surgical) cardiology & Big Pharma & the Medical Device (read: catheter-related cardiological medical devices) industry/industries (don't forget: the average billed cost of cardiac-catheter ablation, a procedure that usually takes about an hour & 50 minutes or so to complete...is $100,000; & catheter ablation is NOT a cure for...atrial fibrillation; to wit: the overwhelming majority of catheter-ablation patients subsequently experience atrial fibrillation relapse/reoccurrence...& go on to have second or even third catheter-ablation surgeries).
In the only study of its kind, the following data/results were obtained--& I quote:
"Compared to the first 6 months, 111 (62%) patients remained stable during the second 6 months, 39 (22%) showed progression to longer AF episodes, 8 (3%) developed persistent AF, and 29 (16%) patients showed AF regression."
For everyone's edification, here's the URL to this groundbreaking--& hopeful (at least in my estimation) study (American cardiology would do well to learn from the Europeans): https://academic.oup.com/europace/article/22/8/1162/5869098
Cheers & all the best!
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Mine has not progressed. The interval between episodes is longer and longer and the time the episode lasts gets shorter. I believe it depends on the cause of the afib and ability to identify triggers.