| Name | Mark |
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| Location | Adirondacks |
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| Age | 58 |
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| Diagnosed condition | persistent atrial flutter, vagal-mediated |
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| Years with condition | 13 |
|---|
| Frequency of episodes | varies, every 1 - 3 weeks on average |
|---|
| Duration of episodes | varies, three hours on average |
|---|
| Event preceding first AF | a long mountain hike |
|---|
| General health | good health, athletic, non-drinker |
|---|
| Current state | episodic |
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| Triggers | fatigue, lack of sleep
gastrointestinal upsets
lying on left side
slow heart rate
excessive sugar intake
|
|---|
| Current medications/side effects | aspirin
|
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| Past medications/side effects | Toprol, Verapimil, Sotalol
cannot tolerate beta blockers -- fatigue when exerising
|
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| History of surgery | hernia repair/appendectomy
|
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| Future plans | more sleep, less stress, maintain vitamins and nutrient supplements, minimize refined sugar intake, maintain regular exercise. May undergo an ablation if problem becomes too frequent and of longer durations. |
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| Personal comments | It is important to minimize triggers and maintain cardiovascular fitness and good nutrition. If the episodic problem become too frequent and of longer durations, I may decide to undergo an ablation |
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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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