Patient discussions

Precipitants such as alcohol or cocaine/amphetamines should be avoided. Patients should also be advised to avoid over-the-counter cold/sinus medications that contain phenylephrine. Patients should report episodes of syncope, presyncope, chest pain, or palpitations to their physicians, as these symptoms may indicate recurrent focal atrial tachycardia. Patients on long-term anti-arrhythmic medications may require specific follow-up to monitor for efficacy and/or toxicity. Patients should be educated about specific adverse effects associated with their anti-arrhythmic medications, such as symptoms of thyroid dysfunction among patients taking amiodarone.

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