| Name | Mario |
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| Location | Utica NY |
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| Age | 63 |
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| Diagnosed condition | Afib |
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| Years with condition | 6 months |
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| Frequency of episodes | 3 times |
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| Duration of episodes | 1 day, last one just a few hours |
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| Event preceding first AF | A little High Blood Pressure, 4 years, lately having shortness of breath, heartburn |
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| General health | Excellent, Never a smoker, Eat very good, only social drinking and not heavy, exercise for years, followed the |
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| Current state | Not cured, feeling OK but I had a TIA during the last Afib, no damage but heart still burns a little but better since I have been on Proton Pump inhibitor |
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| Triggers | Light alcohol use, not sure
Large dinner, not sure
For the past 3 months I changed my diet, no sugar, low carb, no alcohol, caffeine or Fried foods. Increased my green and fruit intake, still had a afib yesterday for a few hours
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| Preventions | Beta blocker seems to help
Reducing food portions
Eliminating spicing food
Proton Pump inhibitor
Acupuncture
over the past month I am on Ca-blocker since they have less side effects
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| Current medications/side effects | Losartan Potassium
Beta blocker now went over to Ca-blocker
Blood thinner
Proton Pump inhibitor
They had me on Metoprolol 50mg twice a day, I had major side effects, felt high, could not think, drive, or do computer work, after a reducing the Metoprolol to 25mg twice a day and it is manageable, still getting use to it.
The Ca-blocker is better but both cause me serious case of Acid Reflux that will not go away with all the Gastro drugs and diet modes I have tried, now I have Bretts disease.
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| Past medications/side effects | None |
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| History of surgery | Loop recorder installed under skin |
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| Future plans | Nuclear Stress test next week |
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| Personal comments | I am in good shape, exercise 2-3 times a week, I have had a low stress job for 30 years, higher stress job for the last 4 years. Loss of a 30 young nephew from cancer 4 years ago has given me great sorrow.
Low cholesterol, no heart disease in family, parents and grand parents lived into their 80's, grandmother 98!
The acid Reflux is a serious threat that comes from the Ca blockers for the Afib, so which are the less threat?
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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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