| Name | MIKE PETTEE |
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| Location | WESTPORT, CT |
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| Age | 77 |
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| Diagnosed condition | ATRIAL FIBRILLATION |
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| Years with condition | 8 YEARS WITH NSR IN BETWEEN |
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| Frequency of episodes | FIRST CV IN MAY 1998 PLUS PACEMAKER IN MAY 1998; NSR TO 2002 & CV #2; NSR TO FEB 2006 & 3RD CV; NSR TO APR 2006 & 4TH CV; AF AGAIN IN MAY 2006 NO CV |
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| Duration of episodes | SEE ABOVE |
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| Event preceding first AF | COINCIDENTAL: PROSTRATE CANCER TREATMENTS IN 2002 |
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| General health | EXCELLENT |
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| Current state | IN AF NOW |
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| Triggers | I WAS A COMPETITIVE SWIMMER FROM COLLEGE IN 1951 UNTIL 1987. THEN SWITCHED TO COMPETITIVE ROWING. CONTINUED ROWING WITH PACEMAKER BUT I HAVE STOPPED RACING AFTER LAST AF IN MAY 2006. I STILL ROW - LIGHTLY. MY TRIGGER BELIEF: PHYSICAL STRESS WHEN PERFORMING MAXIMUM PHYSICAL OUTPUT (E.G. MOVING FROM AEROBIC TO ANAEROBIC WORK) WHICH LIKE THE FIGHT/FLIGHT RESPONSE RELEASES ADRENALIN AND OTHER STRESS TRIGGERED SUBSTANCES WHICH THEN TRIP ME OUT OF NSR. THIS HAS BEEN A CONSTANT PATTERN FOR EVERY ONE OF MY NSR TO AFIB EVENTS. |
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| Preventions | I SUPPOSE AVOIDING MAXIMUM PHYSICAL OUTPUT, BUT ONE CAN'T VERY WELL RACE COMPETITIVELY UNDER THOSE CONDITIONS. SO . . . I'M IN AF WITH CARDIOLOGY FOLLOWUP EVERY 60 DAYS AND PRIMARY CARE GIVER FOLLOWUP EVERY 90 DAYS. |
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| Current medications/side effects | COUMADIN (WITH INR TEST EVERY 2 OR 4 WEEKS, DEPENDING ON READING). 20 MG LISINOPRIL (ZESTRIL). 0.125 MG LANOXIN-DIGOX. AND 0.4 MG FLOMAX (FOR POST PROSTRATE CARE). SIDE EFFECTS: WITH COUMADIN-NATURALLY- I CUT & BRUISE EASILY.
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| Past medications/side effects | NONE, REALLY |
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| History of surgery | SEE PROSTRATE TREATMENT ABOVE. SOON: REPLACEMENT OF BOTH KNEES. |
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| Future plans | MONITORING. LET'S SEE WHAT DEVELOPS WITH MEDICATIONS AND ABLATIONS. NO RUSH. CONTINUE EXERCISE BUT WITHOUT STRESS OF MAX OUTPUT RACING. |
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| Personal comments | A LONG-TIME (AND AGING) ATHLETE WITH AN ENLARGED HEART. MY CARDIOLOGIST & THE THAT PRACTICE'S ELECTROPHYSIOLOGIST RECOMMEND AGAINST CURRENT MEDICAL AFIB PHARMOCOLOGY AND CURRENT ABLATION PROCEDURES. WE WILL CONTINUE TO MONITOR. |
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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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