AFibbers Database: Mike Wilson

Name	Mike Wilson
Location	High Springs,Florida
Age	40
Diagnosed condition	paroxysmal af
Years with condition	4
Frequency of episodes	about every 6-7 days
Duration of episodes	increasing to 72+hrs.
Event preceding first AF	rheumatic heart disease,aortic&mitral valve replaced 3yrs. ago,had enlarged left atrium,congestive heart failure from 4 weeks of af before 1st e.r. visit
General health	good health,hbp controlled with med.,work in construction,high school sports,USMC 8 yrs.,drink beer daily
Current state	af is progressively becoming more frequent and longer duration,ready to try different med.
Triggers	stress,hard liquor,af usually creeps up on me about 1-2am while my guard is down,working long hours is sometimes a trigger,it seems af pretty much sets its own schedule.
Preventions	during awake hrs.,if i feel an episode coming on,i can usually avoid it by relaxing/calming down etc.
Current medications/side effects	sotalol 240 mg.twice daily/keeps everything slowed down, doesn't maintain sinus rythym for me,finger tips stay kind of numb feeling,keeps heart rate at 80/90 during af.Also take lanoxin .375 mg. daily,cozaar 50 mg. twice daily for BP.,coumadin 5mg. daily.I maintain a 2.5 to 3.5 INR and have,on occasion,bruise/bleed easily.
Past medications/side effects	quinaglute,did not maintain sinus rythym,used for a year,had loose bowels all the time.atenolol,used 1 month,didnt maintain and made me weak and tired.
History of surgery	Had heart cath. in 96 ,every thing was clear.Had aortic and mitral valve replaced with St. Judes mechanical valves in 98. Had 3 cardioversions along the way.
Future plans	I see cardioligist in a month,would like to try a different med.,such as tambocor,tikosyn,etc..I plan on maybe having an ablation of some sort when they get a little more proficient at it in my neck of the woods.I would like to talk to an E.P.
Personal comments	The biggest problem I have is dealing with all the racket that my mech. valves create when in af. Everyone within 5 ft. of me knows when i'm fibbing,as every irregular beat is heard and felt.Things could be worse.Good luck to all my fellow fibbers!
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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