| Name | Anon |
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| Location | Georgia |
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| Age | 47 |
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| Diagnosed condition | vagal lone atrial fibrillation |
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| Years with condition | 7 |
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| Frequency of episodes | monthly occasionally bimonthly; now once to three times per year |
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| Duration of episodes | 4-12 hours |
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| Event preceding first AF | none |
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| General health | excellent, daily exercise, aerobic and strength training (lost 30 lbs.); diagnosed with IgA nephropathy (protein and microscopic blood in urine); hypertension controlled by Cardizem |
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| Current state | AF has decreased; no episodes in 2002; two episodes in 2003 |
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| Triggers | Occurs after dinner, usually near or at bedtime. Lying down (left recumbency) or either side. Possibly stress days before. No discernible pattern. Several days of flutter prior to major episode. |
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| Preventions | None. Just sleep it off if I can.Baroreceptor massage, Valsalva's maneuver, immersing face in ice water, etc. do not work for me.
Most recent attack (02/17/06): converted to normal sinus rhythm by running up 3 flights of stairs. |
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| Current medications/side effects | 120 mg Cardizem/none; 80 mg aspirin/none; 25 mg diphenhydramine/sedation; 10 mg Lunesta/sedation; 10 mg Uroxatral/none; Zantec 150 mg bid/none
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| Past medications/side effects | Norvasc: increase in episodes |
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| History of surgery | None |
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| Future plans | Continue to investigate for possible "cures"
Continue log to pinpoint triggers
Continue to exercise and eat healty foods
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| Personal comments | This is definitely irritating when you are trying to sleep! It is somewhat frightening since it is my heart and it isn't acting "normally". There is never any loss of function and I seem to be able to perform the same when I am in af as when I am out. I do seem to urinate a lot more when I'm fibrillating.
It definitely seems to be related to eating large meals late at night and going to bed on a full stomach. |
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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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