| Name | mark |
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| Location | hampshire, UK |
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| Age | 52 |
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| Diagnosed condition | Paroxysmal (lone) atrial fibrillation (vagal/mixed), no other heart problems |
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| Years with condition | 10+years |
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| Frequency of episodes | every 2-3 days |
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| Duration of episodes | 12-24 hours (before current medication) |
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| Event preceding first AF | no events before first AF |
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| General health | very good health, non smoker, regular sport |
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| Current state | Currently partially stabilised |
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| Triggers | Used to be stress and sometimes sudden exercise, chocolate, caffeine, now after a meal in the evenings |
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| Preventions | Relaxation helped a little, avoidance of triggers. But this just delayed the onset. |
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| Current medications/side effects | Sotalol (1x80mg and 1x 40mg per day), aspitin (75mg).
The Sotalol initially upset my rhythm even more than normal and have me a light headed feel. I nearly gave up but persisted. After 2-3 weeks side effects reduced. Now effects are that it reduces my heart rate from 60 to around 50 and also reduced by BP from 110/70 to 90/60, causing a slight lack of 'get up and go' |
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| Past medications/side effects | Bisprolol - limited effect no side effects
Flecainide - some reduction, no side effects
Propafenone - no effect |
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| History of surgery | None |
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| Future plans | Try reducing Sotalol to 80mg per day. May also try Magnesium tablets as recommended elsewhere. In about 5 years time may opt for ablation once this has become a standard practice that has been well investigated. |
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| Personal comments | Looking at this database I must be the only person that has benefited from Sotalol. Up until 3 months ago the AF was a pain as it interferred with the hockey I play. In over half of games I would get AF. I was able to continue but my recovery period from running was extended and I enjoyed it less. I then started Sotalol on the recommendation of my cardio (having tried various other drugs with limited or no benefit). Initially the side effects were quite bad but I stuck with it and these improved. Now, I have been playing twice a week for 3 months with no AF! Brilliant!!
I now only get some AF in the evenings but that has relatively little impact on my lifestyle.
Around the same time I started on Sotalol I increased my cod liver oil capsules to 2p.d. and reduced the glucosamine I take for my joints to 1000 mg p.d., but I don't think this was responsible for the improvement in the AF. |
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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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