Why paroxysmal atrial fibrillation should not be converted to sinus rhythm

Paroxysmal atrial fibrillation does not usually require sinus rhythm reversal, mainly because patients with paroxysmal atrial fibrillation can return to normal sinus rhythm on their own.
Paroxysmal atrial fibrillation means that the duration of atrial fibrillation is less than 7 days (often less than 48 hours) and can be terminated on its own, so it is generally not necessary to restart the sinus rhythm treatment.
For patients with paroxysmal atrial fibrillation, we generally need to closely observe the patient’s condition changes, if recurrent or has progressed to persistent atrial fibrillation before the need to restart the sinus rhythm, you can first take oral medication to restart, such as oral amiodarone, procaine, etc., and when the drug treatment is ineffective, you can choose to use electrical restoration or radiofrequency ablation surgery and other therapeutic options.
Atrial fibrillation is categorized according to its duration and whether the sinus rhythm can be restored on its own, and it needs to be combined with other auxiliary tests. If there is persistent discomfort that is difficult to be relieved, it should be systematically diagnosed and treated in regular hospitals.