AFibbers Database: Peter

Name	Peter
Location	Houston, Texas
Age	65
Diagnosed condition	Paroxysmal Atrial Fibrillation, [added 7-2005:] Atrial flutter
Years with condition	Unknown
Frequency of episodes	daily to weekly [added 7-2005:] Afib gone, aflutter controlled
Duration of episodes	1 minute to 48 hours
Event preceding first AF	None identified
General health	Excellent
Current state	No improvement in AF [added 7-2005:] AF cured by ablations
Triggers	Caffeine, stress, bradycardia [added 7-2005:] Aflutter episodes have initiated during sleep, possibly by normal reduction in depolarization time occurring during sleep.
Preventions	None [added 7-2005:] After two PVI procedures, Afib is cured. I have had two episodes of sustained Atrial fluuter, now prevented by a low dose of Remeron. Off Remeron afer only 3 months, gained 20 pounds!
Current medications/side effects	Betapace 120/slow heart rate, 45-60, Coumadin 5.5/none [added 7-2005:] I am now on coumadin, Zocor and remeron. The remeron has caused weight gain and I am currently struggling to maintain my weight. The Remeron doesn't limit my exercise capacity like the antiarrhythmia drugs did.
Past medications/side effects	Toprol XL-50, Toprol-XL-100, low heart rate, Digoxin-0.25, Sotalol; low heart rate. Apirin 325, none
History of surgery	[added 7-2005:] Cardiac ablations at the Cleveland Clinic Feb-2003 and Oct-2003. Afib appears to be cured. No episodes since then! After the ablations, I had two episodes of sustained atrial flutter that put me in the ER. The remeron is doing a good job of preventing flutter, as well as helping me sleep all night. I now realize that many of the restless nights that I had in the past were probably caused by Afib or Aflutter,
Future plans	My Cardiologist is searching for effective drug therapy to control rate and hopefully reduce the frequency of AF episodes. Coumadin has been prescribed to ameliorate the risk of embolic stroke. [added 7-2005] My Cardiologist plans to keep me on Coumadin, Zocor and Remeron indefinitely. Now I am on Zocor and Coumadin only, no antiarrythmia drugs, I feel great! My Cardiologist is going to keep me on Coumadin forever, regardless of how long I go without symptoms.
Personal comments	I had an embolic stroke 1/11/02, no lasting effects. MRI showed an old stroke as well. The old one probably occurred while I was on Toprol-XL 50 and Aspirin 325; the recent one occurred while I was on Toprol-XL 100 and Aspirin 325. [added 7-2005] I had another mild stroke in Sept. 2002, while on Coumadin. I suspect that I have had PAF for a very long time, but it only became frequent enough and severe enough to be diagnosed 6 months ago.
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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