I have antiphospholiped syndrome, history of DVT and PE and suffer paroxysmal AF, COPD , Asthma and severely reduced gas transfer (33% function), I am on Diltiazem 240mg daily and Digoxin 125mcg daily and ramipril 2.5mg and warfarin with a target INR of 3 - 4. Can the Paroxysmal AF add extra threats to my throwing off clots