what can cause paroxysmal a fib
In addition to harm to the heart from heart disease or hypertension, medications and other elements can cause paroxysmal AFib, including: 1  binge drinking (4 to 5 beverages within 2 hours) 2  stimulant medications and drugs (ex. methylphenidate, pseudoephridrine, drug) 3  nicotine. 4  caffeine. 5  low potassium (electrolyte imbalance)