I have paroxysmal AFib and have no symptoms at all. My episodes are sporadic and until this year they were always 30 seconds or less, again with no symptoms. My electrophysiologist did not recommend Xarelto or similar. My cardiologist recommended first Xarelto and finally Eliquis. I always refused until this year when the episode length increased occasionally to 2 hours, but no symptoms. I tried Eliquis and could not tolerate it. So I asked my cardiologist if I could increase my once a day 81mg Aspirin (Ecotrin) to 2 per day and my regular heart medications/BP meds. He agreed that he would be fine with that and I have been fine since. My Pacemaker is interrogated about every 6 months so they keep close tabs on the AFib.