| Name | Timothy D |
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| Location | Asheville North Carolina |
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| Age | 49 |
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| Diagnosed condition | Parocysmal A- Fib, left Inferior pulmonary vein occlusion |
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| Years with condition | 4 |
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| Frequency of episodes | once to twice per month |
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| Duration of episodes | several minutes to days |
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| Event preceding first AF | strenuous run |
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| General health | longstanding HTN - distance athlete - marathoner, triathlons - sprint to half ironman distances |
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| Current state | paroxysmal - exercise tolerance is affected by pulmonary vein occlusion, |
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| Triggers | strenuous or prolonged exercise sessions, dehydration, fatigue |
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| Preventions | adequate sleep, careful hydration, |
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| Current medications/side effects | propafanone, coumadin, lisinopril, omeprazole |
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| Past medications/side effects | Sotalol - extreme fatigue and severe exercise intolerance
Flecainide - pro arrythmic |
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| History of surgery | Ablation - 2007 - with recurrent arrythmia
Pulmonary vein angioplasty - 2007 - vein quickly reclosed |
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| Future plans | I don't want to have another ablation for fear of additional damage to my pulmonary veins. |
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| Personal comments | I am looking for ways to advance exercise without increasing frequency of A-Fib episodes. I have devleoped a whole host of behaviors trying to get in quality workouts - Chicken Noodle soup before workouts - 60 oz gatorade on runs - naps within an hour of hard workouts - etc. Not sure if any of it actually works. |
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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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