The Relationship Between Panic Attack Symptoms and Atrial Fibrillation Episodes.

Inclusion Criteria: * Patients (male and female) between 21 - 75 years of age * Patients of both sexes, of varying races and ethnicities, with a range of educational levels and ages * ICD-10 diagnosis code of PAF in the electronic medical record or ECG demonstrating PAF in the chart. * History of PA symptoms as identified on screening with the PHQ-PD * Read and speak English * Access to a smartphone and internet/data coverage. * Ability to read and type within a smartphone-based application. * Capacity to understand and provide informed consent, and comply with protocol requirements that includes completion of a limited number of questionnaires. Exclusion Criteria: * Uncontrolled hypertension (defined as documented BP readings consistently above 140/90) * Patients younger than 21 years old or older than 75 years old * Reversible causes of AF, which include but are not limited to untreated thyroid disease, recent major surgical procedure or trauma, etc * History of persistent or chronic AF * History of clinically significant valvular heart disease (bio prosthetic or mechanical valve, severe aortic stenosis, moderate to severe mitral stenosis, rheumatic heart disease, or severe mitral regurgitation) * History of congestive heart failure (CHF) and an ejection fraction (EF) of less than 40% * History of new onset coronary artery disease (CAD) in the last 90 days * History of myocardial infarction (MI) in the last 90 days * History of percutaneous coronary intervention in the l…