| Name | Anthony George |
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| Location | Wales,UK |
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| Age | 39 |
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| Diagnosed condition | Lone Atrial Fibrillation |
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| Years with condition | 7 |
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| Frequency of episodes | max 5 years : min 7 weeks |
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| Duration of episodes | 24-48 hours |
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| Event preceding first AF | chronic flu in 1996 |
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| General health | non-smoking very fit individual |
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| Current state | NSR |
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| Triggers | postural or high-intensity exercise whilst being dehydrated or having recently had too much alcohol or aspartame |
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| Preventions | alcohol abstention or no exercise or exertion for a few days following alcohol
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| Current medications/side effects | flecainide (tambocor),warfarin (coumadin) |
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| Past medications/side effects | flecainide and amiodorone ( the latter for conversion only) |
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| History of surgery | 3 electro-cardioversions - conversion by amiodorone on other three occasions |
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| Future plans | Once back in NSR the cardiologists just say to get on with life. No testing or analysis involved.Hoping to see a different one soon but have no great expectations. Just hope that flecainide reduces the frequency of episodes |
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| Personal comments | It appears I fall into the category of a vagal AF sufferer as typified by age and sex, fit and athletic as illustrated by low heart rate (mine is 54 the day and was 48 in my twenties). Certainly two (and possibly four) of my episodes seem to be ‘postural’ in nature. All of them have involved high-intensity activity that has elevated the heart rate. The reversion after vagal manoevres seems to further confirm the vagal-nature of the attacks. In addition to the ’activity’ element there also appears to be a co-existing factor that seems to have possibly ‘imbalanced’ the autonomic nervous system. The toxins, alcohol and aspartame, have been mentioned previously. If the episodes had been solely activity-initiated I would sureIy have had many more episodes as I have regularly participated in rugby, soccer, athletics and weight training. I have tried to manage the potential triggers but it is not easy as regards the food-chain toxins. |
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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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