AFibbers Database: George

Name	George
Location	San Jose, Ca.
Age	48
Diagnosed condition	atrial fibrilation
Years with condition	2
Frequency of episodes	lately about every 3 months (was every 2 weeks)
Duration of episodes	6 hrs upto 11 days
Event preceding first AF	18 hr. workday, dehydrated
General health	excellent, non-smoker,non-drinker
Current state	episodes lately every 3 mo.'s, this last one started 6 days ago.
Triggers	not sure anymore. ??stress,caffeine,lack of sleep,dehydration, ??? Probably dehydration and/or caffiene. Lately I've had good results drinking a minimum of 1 gallon h2o / day. But last week went on a chocolate eating binge. Forgot to drink enough water on Sunday. Woke up Monday a.m. with afib.
Preventions	none
Current medications/side effects	atenolol 6-7 mg. once daily( about 1/4 of 25mg tab) (unless afib hits, then I go to 75 mg. while in afib) warfirin
Past medications/side effects	lopressor at e.r., The last time it didn't have any effect. Hence cardioversion. Digoxin a few times in e.r.
History of surgery	Appendectomy, tonsilectomy.
Personal comments	Maybe I maxed out my heart rate too many times in my earlier years. I used to run in the hills. My heart rate would stay very high. I also used to use a rowing machine and stationary bicycle. I would sometimes keep my heart rate at 205 for 15-30 minutes every few days. Stupidity?
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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