AFibbers Database: N. Furrey

Name	N. Furrey
Location	Arizona
Age	49
Diagnosed condition	proximal afib & atrial flutter
Years with condition	6, treated for only 1.5 year
Frequency of episodes	unmedicated = many times / day, 50% reduction
Duration of episodes	>1min to <5hours
Event preceding first AF	no recent illnesses
General health	allergic predisposition
Current state	improved but still not controlled on meds, side effects minimal
Triggers	more pronounced late in day through night and early morning hours, laying down
Preventions	medication only
Current medications/side effects	dofetilide - feeling much better as far as side effects go. Current doseing 375mg bid. Doesn't control the afib yet but it has reduced the number of episodes and to some extent their duration. Unusual occurance - marked dizzyness 2 hours lasting about 1.5 hours before AM dose of dofetilide.
Past medications/side effects	disopyramide - muddy thinking, unable to find words and verbalize them well, dizzy, blurry vision, neurological weakness and uncoordinated hands/arms, tonal tinnitus in both ears, increased migraines, dryness of eyes (painful), constipation, gut discomfort flecainide - fatigue, very dizzy, loss of appetite, muddy thinking, unable to find words and verbalize them well, numbness of mouth and lips, migraine headaches, malaize, moderate sleep onset difficulty. After 8 weeks severe acute sharp left side chest pain, PM fevers, burning in lungs with exercize, extreme fatigue and malaise, pleurisy, constant caugh, and fluid bubbling in lungs when prone. Aspirin - no difficulty Toprol - bradycardia Amiodarone - severe sleep problems (not well counteracted by Ambien, no positive effect with lorazepam). These side effects persisted very strongly for 84 days and continued noticibly for 118 days. Warfarin therapy was never in control and dangerously high INR = 10. Cardizem - didn't control Afib - used before ablation
History of surgery	Ablation 60 days following amiodarone therapy termination. It was preformed blindly because I would not return to afib during the procedure. It is suspected that this was in part due to the fact I was still under the influence of the amiodarone at the time. The ablation failed within 12 hours.
Future plans	After 2.5 weeks on drug check with cardio to see if dofetilide dose should be increased.
Personal comments	I have received great comfort from this list and it's wealth of experience. Thank you!
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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