| Name | John |
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| Location | Teesside UK |
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| Age | 44 |
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| Diagnosed condition | PAF |
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| Years with condition | 22 |
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| Frequency of episodes | 1 times per year |
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| Duration of episodes | anything from10 secs to 48 hrs |
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| Event preceding first AF | None |
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| General health | Good health, non smoker, non drinker, slightly overweight |
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| Current state | AF once per year awaiting PVI ablation |
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| Triggers | Tiredness, bending over, laying on left side. After execise as heart rate begins to slow. Caffiene. It is difficult to define any one trigger as cause. I beleive EP study provides best possible chance of diagnosis and cure.
Stress, you are often the last person to know you are suffering from stress.Overeating. |
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| Preventions | Relaxation techniques.
Get plenty of sleep.
Avoid overeating/indigestion |
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| Current medications/side effects | None |
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| Past medications/side effects | None though on admission to hospital was given Flecainide which did revert heart to sinus rythym. |
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| History of surgery | 5 EP studies
RF Ablation 10 years ago (2 sessions) - 13 burns. |
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| Future plans | Counselling for anxiety induced by fear of palps.
Breathing technique.
Dont let Af rule your life. It is extremely frightening when it happens,but I have always come through it. |
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| Personal comments | For me AF has brought on a bad state of anxiety - agorophobia. Feeling scared about there being no help at hand in the advent of an attack . Since ablation 6 years ago it took me all of those years with the help of counselling to regain my confidence. 18 months ago that confidence was taken away again. I am on theconfidence building road again. |
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| Check list |  acebutolol | amiodarone (cordarone,pacerone) | anisindione (miradon) | | atenolol (tenormin) | aspirin | azimilide | | bepridil | betaxolol | bisoprolol (monocor,emconcor) | | bretylium | bucindolol | carvedilol | | cibenzoline | dicumarol | digitoxin | | digoxin (lanoxin) | diltiazem (cardizem) | diphenylhydantoin | | disopyramide (norpace) | dofetilide (tikosyn) | dronedarone | | encainide | esmolol (brevibloc) | ersentilide | | flecainide (tambocor) | gallopamil | ibutilide (corvert) | | lidocaine | mibefradil | metoprolol (lopressor,toprol xl) | | mexiletine | moricizine | nadolol | | phenytoin | procainamide | propafanone (rythmol) | | propranolol (inderal) | quinapril (accupril) | quinidine (quinaglute) | | sotalol (betapace) | tedisamil | timolol | | tocainide | trandolapril (mavik) | valsartan (diovan) | | verapamil (calan,isoptin) | warfarin (coumadin) | asthma | | diabetes | GERD/acid reflux | hypertension | | hypotension | hyperthyroidism | hypothyroidism | | adrenergic | vagal | familial | | idiopathic/lone | paroxysmal | permanent/chronic | | atrial flutter | cardiomyopathy | CHF | | PAC | PVC | SVT | | syncope | bradycardia | tachycardia | | heart block | myocardial infarction | rheumatic heart diease | | sick sinus syndrome | stroke | WPW | | electrical cardioversion | defibrillator | pacemaker |  ablation | bypass | maze | | Male | Female | |
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