I always know when I am out of rhythm. I can feel it when it kicks in and then when I self-convert. I have had a couple of cardioversions. The deal I had with my EP was if I was in A-fib for less than 12 house I took eliquis for 24 hours. If I was in A-fib longer than 12 hours then I took it for 30 days. Finally I was having too many events so I had an ablation in April 2019. Until this past May 2023 I had a couple of brief events. Since May I have had 4 A-fib events all of which I self-converted. Then I recently I started having PVCs and PACs and tachy events. I had been using Ubquinol for PVCs and it worked wonders for years. Now I need to get a holter and see what is going on. I am ready for another ablation cause living with A-fib makes me weak and saps the energy of out of me. So I put myself on eliquis permanently until I can find out what is going on. I am not happy to have to wait until March 12th to be seen for a monitor. They never have waited so long to work me in. The PVCs etc. are happening so often that my BP cuff often sends me an error code as it cannot keep up the all the different rhythm changes. I am not in A-fib right now but it keeps bouncing around. My normal resting HR has been in the 40s my whole life.