| Name | James |
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| Location | Melbourne Australia |
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| Age | 52 |
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| Diagnosed condition | Paroxysmal Atrial Fibrillation |
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| Years with condition | Min 1.5 |
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| Frequency of episodes | Daily |
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| Duration of episodes | 30 mins to 2 hours generally |
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| Event preceding first AF | None identifiable |
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| General health | Good, former smoker (stopped >10 yrs) |
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| Current state | Recently had AF ablation. Early indications are not encouraging. New symptoms (low HR as well as high HR) as well as those preceding procedure |
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| Triggers | Caffeine
Alcohol
Lying flat, and on left side
Sitting hunched
Exercise
Rest after exercise, especially if coupled with alcoholic refreshment
Work stress |
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| Preventions | Avoiding all the above is impossible |
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| Current medications/side effects | Sotalol 160 mg/day (before and after FR abalation). Some tiredness, some breatlessness.
Coumadin (post-operative) 6mg/d. No clear side effects |
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| Past medications/side effects | None |
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| History of surgery | RF Ablation 29 July 2011. EP was happy with procedure, initial indications very good but gradually seeing symptoms as before procedure and potentially worde |
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| Future plans | Potentially will require second RF Ablation. |
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| Personal comments | It's an insidious condition. You are not "unwell" but are limited, especially in exercise. |
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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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