A 58-year-old man with hypertension and type II DM develops palpitations at an Eagles game when he is arrested for disorderly conduct during a rout by the Patriots. The police are worried that they caused a heart attack during their “interrogation.” He has a history of hypertension and truncal obesity (called a beer belly in Philly) but in otherwise good health. His father and brother had some kind of heart rhythm that made their heart “go crazy.” ECG shows coarse AF with a VR between 110 and 160. Your fellow’s Echo was a snowstorm but showed probably normal LV function. Labs, including TFTs, are OK except for an elevated alcohol and soft pretzel level.