AFibbers Database: Pattison Esmiol

Name	Pattison Esmiol
Location	Glenwood Springs, CO USA
Age	76
Diagnosed condition	Atrial Fibrilation
Years with condition	? for years irreg. ht beat thought to convert to reg with exercise;25 yrs running;'89 ran Pikes Peak Marathon
Frequency of episodes	No sxs of flutter, pain, SOB etc.Continuous AF in 100s> 1 episode each of chest pain, loss consciousness while driving>off road, wife yelled> corrected a near roll over.
Duration of episodes	9 mo prior: dear, youngest son 39 died paragliding accident; 2 mo prior middloe son 45 died in sleep, ? cardiac event while he had flu like sxs over counter meds, methadone, +liver, + heart
Event preceding first AF	2-4 wks prior to onset, ,? Flu with lethergy, ennui, lack of energy, ?? shortness breath all thought to be Sxs of depression/grieving.
General health	30 yr 0 smoking, 22 yr recovering alcoholic 0 alcohol. Active, athletic.
Current state	died March 5, 2008
Triggers	Grief, flu?, overweight 40#
Preventions	currently on Coreg 3.125 mg daily and building up coumadin for 4-5 wks to prepare for cardioversion with defibrillator.
Current medications/side effects	see above. Initial tiredness on coumadin, now no sxs, feel good more active, mod. exercise with no sxs.
Past medications/side effects	0
History of surgery	Bilateral inguinal hernias ~ 2000 R Ulnar nerve release 1985 Hepatitis B? with jaundice 1953 & full recovery
Future plans	Tx, above under preventions Activity- camping, hiking, biking as tolerated.
Personal comments	Appreciate any thoughts, suggestions, especially re: the possible role of viral infection, a/o emotional stress triggering sxs in previously assymptomatic AF.
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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