| Name | Betty Jansen |
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| Location | Leiden, The Netherlands |
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| Age | Born 1962 |
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| Diagnosed condition | AF & AVNRT |
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| Years with condition | since 1988 AVNRT/ since 1998 AF |
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| Frequency of episodes | AVNRT 2 or 3 times a year / AF also |
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| Duration of episodes | AVNRT less than a day / AF sometimes needs cardioversion |
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| Event preceding first AF | Cardiac surgery in 1972 due to congenital heart disease |
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| General health | Good |
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| Current state | After MVR & MAZE still paroxysmal boosts of AF |
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| Triggers | AV-nodal reentry tachycardy (AVNRT),infection or flu (propbably higher CRP-level than normal), overactive exertion especially after meals, fatigue. |
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| Preventions | Staying calm after meals, no bike riding in stormy weather after meal with alcohol. I need to prevent getting ill or cathing a cold. I need enough rest and sleep at night. |
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| Current medications/side effects | Flecainide and metoprolol if needed. No noticable side effects.
Coumadin (in Dutch: Marcoumar)for anti-coagulation. I am managing the whole thing myself at home. Things are going very smoothly. |
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| Past medications/side effects | I tried all sorts of anti arrhytmica. In the end none of them stopped AF from reoccuring. With verapamil ( calcium antagonist)I had thick legs and feet during high temperatures. |
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| History of surgery | 1972: ASD I & II
VSD
cleft mitral valve.
After this operation I could lead a perfectly normal life.
2003:
2 ablations of the AVNRT, both without success.
2004:
Mitral valve replacement & Maze surgery on left atrium (the maze was not possible on the right atrium due to the many adhesions I had after the first operation).
Since this operation I have had 3 cardioversions but AF episodes are much milder and shorter. My left atrium is enlarged and that is probably why the maze did not completely worked out for me. |
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| Future plans | Since 99% of my AF episodes are triggered by the AVNRT, my EP will probably later this year try to ablate the extra bundle near my AV-node again. |
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| Personal comments | Although the maze surgery was not completely succesful for me, due to my congenital heart disease history, I recommend all people to consider this operation. Quality of life certainly increases and risk for complications, like stroke or heart failure decreases. |
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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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