AFibbers Database: graeme middlemiss

Name	graeme middlemiss
Location	Farnham, UK
Age	45
Diagnosed condition	AF
Years with condition	4
Frequency of episodes	variable, tends to come in bouts, maybe 1 week on 2 weeks off
Duration of episodes	1-12 hours, drugs can return to sinus in 2 hours usually
Event preceding first AF	none
General health	good, very fit, did drink more than prescribed amout - wine, given that up now, non-smoker
Current state	still ongoing
Triggers	alcohol, usually triggered an event 24 hours later. cholcolate a nights sleep (especially noticable on left side sleeping). a meal, I first starting getting episodes after lunch, which was often after exercise.
Preventions	Off the alcohol, it helps but does not cure the condition. I am trying a reorganisation of my meal times, i.e. not eating later than 7 pm.
Current medications/side effects	Flecainide, the dose has gradually been increasing, and I am now concerned reading many comments that the effect wears off over time. I started on 100mg per day, I am currently on 200mg which seems to be working. The only possible side effect I have noticed are some headaches, but nothing major.
Past medications/side effects	I had an intrvenous flecainide injection followed by wharfarin when I had my first serious attack (I was cycling 'energetically' and got very dizzy). Second major event I was cardio-verted, that worked for a few weeks but I was quite badly burnt by the paddles!
History of surgery	Only the normal sporty knee stuff.
Future plans	I intend to get a full body reading of my various toxicity levels, any allergies etc., and intend to get a full nutritional plan. I did not think my diet was that bad, but I am no expert and so will try this route. I am also keeping a keen eye on the ablation techniques, and will hold the matrix procedure off for as long as possible.
Personal comments	While this is a frightening condition, when it is not evident I lead a very active life. I find the social aspect irksome in that it is disheartening (no pun intended!) to go out for dinner/parties etc. and watch others seemingly eat and drink whatever they want with no apparent side effects - but heh that's life. I do have a suspicion that hard exercise in the over forties has something to do with this. I think this is a relatively recent phenomena (exercise over 40 that is) and I have lost count of the number of people I have talked to who know someone who has this and is quote 'really fit'. I like most here have not stopped exercising, I have tried to limit it to < 80% of max, in the theory that keeping fit should help - but I have my doubts! This is a great database, a shared problem and all that.....
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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