| Name | Ron Hume |
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| Location | Brisbane, Australia |
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| Age | 69 |
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| Diagnosed condition | 'Slow' A-Fib |
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| Years with condition | 0.5 |
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| Frequency of episodes | Permanent |
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| Duration of episodes | N/A |
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| Event preceding first AF | 4 years of PVC's from Coronary Artery Disease (No angina pain) |
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| General health | Obese for some years, still overweight. Diet controlled Diabetes Type 2. |
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| Current state | Cardioversion ineffective. No symptoms at this stage. |
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| Triggers | 50mg Atenolol per day following a positive isotope stress test slowed my heart rate to 34 beats, I felt fatigued and unable to exercise as normal. An EKG prior to an angiogram showed A-Fib had developed 4 weeks (or less)after starting Beta Blocker. |
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| Preventions | Nil. |
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| Current medications/side effects | 40 mg Enalapril (ACEI) per day.
5 mg (reducing) Norvasc(CCB)per day.
4.5 mg Warfarin per day. |
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| Past medications/side effects | Atenolol (BB) See above (possible trigger) |
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| History of surgery | Angiography showed Coronary Artery Disease - two vessel disease (LAD & LCx) Treat with medication. |
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| Future plans | Diagnosed as probably having sick sinus and AV node disease and with time may be prone to more symptomatic bradycardias.
Not for any antiarrhythmic (heart rate too slow ... now 44)
No role for internal defibrillation nor biphasic defibrillator |
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| Personal comments | 18 Oct 2001 :I have encouraged my GP to reduce Norvasc (from 10mg initially to 5mg) because of posssible adverse effect on sick sinus and arrhythmias.
http://www.healthsquare.com/newrx/NOR1306.HTM
http://www.rxlist.com/cgi/generic/amlod2_ad.htm
http://umm.drkoop.com/conditions/ency/article/000161.htm
20 Nov 01 Update: No improvement in pulse rate with Norvasc reduced to 2.5 mg per day. Returned to 5mg per day to aid control of BP. |
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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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