AFibbers Database: Carol Gibson

Name	Carol Gibson
Location	tyne and wear uk
Age	53
Diagnosed condition	atrial fibrillation
Years with condition	two years
Frequency of episodes	every two weeks
Duration of episodes	3 to 7 days
Event preceding first AF	High blood pressure started about the same time, don`t know if the bp caused af or visa versa
General health	never smoked, very occasional drinker , overweight general health exelent, Have full time job as a district nurse,
Current state	still in af symptoms. Breathless on excertion, oedema of lower legs, pre syncope, occasional angina, nocturnal dyspnoea, symptoms vary, from very ill to feeling slightly unwell.
Triggers	No triggers identified. episodes start without warning, at various times day and night.
Preventions	none
Current medications/side effects	10.8.05 change in meds from atenolol to sotalol 160mg bd. 27.5.06 change in meds from sotalol to Flecainide 50mg bd. digoxin 250mg daily ramipril 10mg daily amlodipine 5mg daily simvastatin 40mg daily warfarin daily levothyroxine 25mcg daily
Past medications/side effects	atenolol 100mg daily changed to sotalol 10.8.05 usual side effects. lethargy, ankle oedema, changes in eyesight blurred vision.
History of surgery	no history of surgery, have had one cardioversion, in nsr for three days then reverted back into persistant af.
Future plans	March 2005 Awaiting angiography. and possible second cardioversion. 27.5.05 angiogram done, results normal, no atheroma, heart normal size. Electro Cardioversion with amiodarone medication was to be next step. However thyroid function test was borderline, my cardiologist did not want to use amiodarone, as this will further effect my thyroid. He felt that he had reached the limits of his treatments. As all tests to-date have been normal I have been referred to Freeman hospital, which is a specialist heart centre, and an electrophysiologist for further treatment. 10.8.05 new cardiologist has found my latest echo shows heart normal but evidence of pulmonary hypertension, still waiting to have the cause diagnosed. Update 27.3.06. still on same medications. pulmonary hypertension investigated, most likely due to back pressure from AF. new diagnosis of left ventricular diastolic dysfunction. Next review with consultant, 26.5.06. 27.5.06 Afib occuring more frequently over past weeks. Saw consultant today meds changed from Sotalol to Flecainide 50mg bd.
Personal comments	I feel that proceedures and treatments are too few and far between to have any impact on af, that this condition is stressful enough without all the waiting, don`t know if this is due to N.H.S. limitations or hospital proceedure. 27.3.06. update, I feel that the medication side effects are part of the problem. Still hoping for a cure that would end or reduce the need for the meds.
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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