| Name | Gary |
|---|
| Location | USA |
|---|
| Age | 60 |
|---|
| Diagnosed condition | Lone AF |
|---|
| Years with condition | 20 |
|---|
| Frequency of episodes | 4 to 8 per year |
|---|
| Duration of episodes | 8 to 16 hours |
|---|
| Event preceding first AF | Caffeine intake, work stress |
|---|
| General health | Non smoker lifetime, Social drinking only |
|---|
| Current state | Recurring with somewhat regular frequency |
|---|
| Triggers | Diagnosis of bradycardia at age 21
Panic disorder diagnosed at age 25
LAF associated 100% with vagal nerve parasympathetic reactions during sleep |
|---|
| Preventions | None known - spontaneous conversion to NSR 100% of events |
|---|
| Current medications/side effects | digoxin 0.25 mg/day for 18 years
clonazepam 0.5 mg/night for 8 years (nighttime panic disorder; vagal nerve stimulation) |
|---|
| Past medications/side effects | None |
|---|
| History of surgery | None relevant to this issue |
|---|
| Future plans | Have consulted cardiologist for 20 years, multitude of tests confirm LAF
Plan to consult electrophysiologist to look again for cause; |
|---|
| Personal comments | Familiar with Hans Larsen LAF site - digoxin contraindicated for vagal LAF - plan to followup with new cardiologist to determine if digoxin can be stopped |
|---|
| 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 | |
|
|---|
