| Name | JCH |
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| Location | Missouri , USA |
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| Age | born 1943 |
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| Diagnosed condition | Lone Atrial Fibrillation, frequent PACs, pre-hypertensive |
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| Years with condition | began 2003 |
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| Frequency of episodes | 3 episodes as of 2/07 |
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| Duration of episodes | about 3 hours (long enough to get to the emergency room) |
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| Event preceding first AF | none |
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| General health | excellent, non smoker, non drinker, endurance athlete |
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| Current state | 10 months post last episode (as of 2/07) |
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| Triggers | none identified |
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| Preventions | control blood pressure with medications |
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| Current medications/side effects | Cartia-XL, Cozaar, digoxin (very small dose) no side effects. Supplements: fish oil, Slo-Mag (magnesium)aspirin |
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| Past medications/side effects | beta blockers: fatigue, chronic cough, orthostatic hypotension, nasal discharge discontinued |
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| History of surgery | none |
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| Future plans | hope that medications control AF, control blood pressure, diet, exercise, weight control |
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| Personal comments | I realize that the use of digoxin is controversial. I've discussed it with three of my cardiologists (one of whom is EP) and since no side effects and no reoccurence in 10 months will continue. (serum digoxin level is below therapeutic levels (0.3 ng/ml). My mother had high blood pressure and atrial fibrillation. She lived till age 87.
My AF converts in less than 20 minutes post IV cartizem. Quality of life is reduced by curtailing travel abroad especially to third world countries. |
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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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