| Name | Herb |
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| Location | Yokohama, Japan |
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| Age | 72 |
|---|
| Diagnosed condition | Atrial fibrillation and flutter |
|---|
| Years with condition | 12 |
|---|
| Frequency of episodes | 1/week |
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| Duration of episodes | 1-3 hours |
|---|
| Event preceding first AF | None |
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| General health | Non smoker and drinker |
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| Current state | Normal |
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| Triggers | emotional stress or physical overexertion
heavy meal
gaster discomfort especially diarrhea
lying on the left side
Aspartame |
|---|
| Preventions | vegetable juice (potassium content > 500mg/200cc/day) |
|---|
| Current medications/side effects | cibenzoline 300mg/d
bisoprolol 2.5 mg/d
digester |
|---|
| Past medications/side effects | 1. flecainide (150mg/d) with propranolol (30mg/d) was very
effective to prevent episode for 4 years long
2. flecainde (150mg/d), bepridil (100mg/d) and propranolol
(15mg/d) was not effective
3. pilsicainide (150mg/d) with bisoprolol (2.5mg/d) was not
effective
|
|---|
| History of surgery | 1. Oct/2001 pulmonary veins ablation by thermal balloon
catheter. Few hours after the surgery fibrillation and
flutter occured. Result was bad.
2. Nov/2001 ablation for flutter. Fibrillation and atypical
flutter were occured soon after the surgery.
3. June/2004 3 pulmonary veins were isolated by catheter
ablation and things got worse especialy during the 2
months after the surgery. Frequency and duration of
the episode increased 10 times as before the surgery.
|
|---|
| Future plans | Looking for a skilled physician for the ablation |
|---|
| Personal comments | Follow up data for the pulmonary veins ablation will be
needed. |
|---|
| 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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