"Missed" beats or "skipped" beats mean different things when seen on an EKG. They could be harmless, not really missed, but a space after an early beat. Usually doctors don't worry about these. If they mean afib, then the doctor wants to prevent clots and gives a blood thinner. That's why it's always good to see your doctor and get an accurate diagnosis. Twenty years of treatment for afib is a good investment if you're avoiding a stroke. Check to see if you are taking medications if there are cheaper generic ones. My 3 meds cost $15 per month. This is acceptable for lifetime health. (I've been treated for afib for almost 5 years. The condition can be okay with good treatment. Families may wish that we were getting younger instead of older, but dealing well with a medical issue always pays off in the long run. If you need more rest or a change in habits, go for it!