| Name | Dick S |
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| Location | Titusville FL USA |
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| Age | 55 |
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| Diagnosed condition | atrial fibrillation and atrial flutter |
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| Years with condition | 7 |
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| Frequency of episodes | 3 to 4 times daily for 1.5 weeks then 0 per day for one week |
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| Duration of episodes | several hours of palpations. Very rapid about 2 to 4 hours |
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| Event preceding first AF | Just sitting there. Next one I had swum for 1.5 hrs, then done yard work |
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| General health | Type 2 diabetic, insulin needed. High blood pressure |
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| Current state | Doctors didn't do much. Got worse this fall. Went to new cardiologist who prescribed tambocor/flecainide. AF became atrial flutter. Referred to cardiac electrophysiologist. Just had a catheter ablation on Feb 20, 2001, Flutter stopped, AF flec. control |
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| Triggers | Exercise, eating, prone position especially on stomach, ice water, |
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| Preventions | None until started flecainide and, now, catheter ablation to stop atrial flutter |
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| Current medications/side effects | Flecainide (Tambocor). Side effect - blurred peripheral vision starting 1 hour after taking and lasting for 2 or more hours |
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| Past medications/side effects | Heart rate control medications - lanoxin, cardizem |
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| History of surgery | Catheter ablation (EPS - electrophysiology study) by a pretty neat heart imaging device by ... damn I can't remember. Get back to you on this. |
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| Future plans | Wait and hope AF and atrial flutter were related. Wait to see if catheter ablation on atrial flutter controls the problem. Lower dosage of tambocor to see if AF returns, then increase dose until controlled. Get off of coumadin/warfarin if AF and atrial flutter stay in control?
Try other AF controlling drugs if/when tambocor stops working. |
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| Personal comments | I'm typed out. |
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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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