| Name | James |
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| Age | 33 |
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| Diagnosed condition | Lone Prox Afib |
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| Years with condition | 9 |
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| Frequency of episodes | 5+ / Wk |
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| Duration of episodes | 1-12hrs |
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| Event preceding first AF | None Known |
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| General health | Perfect Health |
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| Current state | Living with Afib |
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| Triggers | Lying Down, After exercise, After large meals, cooking with lots of herbs, spices,sitting for long periods of time. |
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| Preventions | Lying on Right Side, Exercise - when Afib PACs / PVCs start, |
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| Current medications/side effects | Flecanide 50mg X2/ day- However, does not always prevent all episodes - certain break through episodes - usually with a faster Ventrical response - have noticed 220BPM on an ECG when in AFIB w/ Flec.
Flec "on demand" ALWAYS works. 50mg chewed with Pedialite will convert 100% of the time 1-2hrs tops.
Other side effects of Flec - Some chest pain, lack of energy, vision - but, at the lower dose, one adjusts to it. |
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| Past medications/side effects | Beta Blocker- Toprol XL - 50mg / day.
Caused more Afib then it prevented - low low BP, really low HR. Episodes were not noticably more controlled then w/o any med,.
Did not like the lack of energy and breathless response. Also - some feeling of "weezing" on deep breaths. |
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| History of surgery | None |
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| Future plans | Possible Ablation PVI, etc.
Concerned about stenosis |
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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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