| Name | Alister |
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| Location | Northants |
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| Age | 39 |
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| Diagnosed condition | Paroxysmal AF |
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| Years with condition | Nearly 7 |
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| Frequency of episodes | Infrequent - 1 or 2 per year |
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| Duration of episodes | 24 to 36 hours although first episode was a week in hospital |
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| Event preceding first AF | Father very ill |
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| General health | good |
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| Current state | Had PVI March 2010 - no events since |
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| Triggers | Stress/Anxiety
Strong coffee (caffeine)?
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| Current medications/side effects | Sotalol 80mg twice daily (one generic brand (Almus) causes very low HR and skin rash) current generic brand (APS) OK
Ramipril 5mg once daily - major headaches when first started
Aspirin 75mg per day |
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| Past medications/side effects | Warfarin |
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| History of surgery | PVI - March 2010 - Papworth UK
Conscious sedation |
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| Future plans | Controlled withdrawal from Sotalol starts in 2 weeks
Losing weight and hope to withdraw Ramipril this summer as was never high BP but my first cardiologist wanted to rule out hypertension and he considered I was borderline. Personally I've never known a high BP reading. |
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| Personal comments | First episode I stayed in hospital for a week until I reverted. Had Heparin drip for the week and various drips including Digoxin . Finally reverted with Flecainide IV on 5th day and within 1 hour of being given the dose As I had been in AF so long I was kept in for a couple of days after.
When in AF (fast - circa 200 bpm) most effective treatment is Flecainide IV, I now have some Flecainide as "pill in pocket" but have never taken one. I have also had Amioderone through a central line.
Had PVI at Papworth. Very worried before hand but the procedure and hospital stay was fine.
Had chest soreness for 5 or 6 days and very severe heartburn for a couple of weeks.
Feel fine now. |
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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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