AFibbers Database: telboy

Name	telboy
Location	UK and Portugal
Age	55
Diagnosed condition	Chronic AF
Years with condition	Diagnosed in 1999
Frequency of episodes	24/7
Duration of episodes	na
Event preceding first AF	None known, but do suffer from stress
General health	Smoker, drink one litre beer/day, no spirits, no drugs.
Current state	April 2004, going in to Atrial Flutter. But normally not a prob. unless I do anything at all strenuos, like walk up 2 flights of stairs
Triggers	As I am in constant AF, I do not even think about triggers. But I do avoid caffeine ( I do remember one event before AF diagnosed, drinking strong coffee and almost immediately feeling my heart beat change) and try to avoid stress.
Preventions	None except sleep
Current medications/side effects	Sotalol 160mg Warfarin 5/6mg Recent addition of Digoxin 125mg( only 2 days) Recent addition of Thyroxine ( TSH up to 4.5)
Past medications/side effects	Amidarone.....UNBELIEVABLE. When first diagnosed I was put on to this..within 3 weeks I was in NSR and felt 21 again. Little sensitive to strong sunlight. Don`t recall any other side effects. Deposits built up in eyes, but no visual disturbances. Gradually benefit seemed to wear off. NHS in my new area of UK do not like Amiodarone and withdrew immediately. Put me on Digoxin,only, within 3 months my Thyroid had gone into overdrive..HypoThyroid state, not nice!! ( they did not check Throid before taking me off Amidarone?)
History of surgery	Electro cardioversion tried in 1999, only 4 months after first diagnosis. Went back into nsr for 4 days, then back to AF None, but Papworth Hospital suggest Pacemaker and AV node ablation. I have so far declined as I `m not convinced it is the answer.
Future plans	Desperatle hope and trust in the Medecine men to find a cure for this problem, which seems to be becoming almost epidemic in size. Will suffer the probs unless it gets hopeless, then I will consider pacing, as a last resort
Personal comments	Seems to me that there is much divided opinion in not only country to country, but within countries themselves, as to the best way to tackle the prob. As my original cardio said. Do you want to live well for the next 20 years and then Maybe have a prob within Amiodarone effects, or suffer from AF 24/7 for the rest of your life? Its a tough call to make when you don`t know the answer.
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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