66-year-old woman had an episode of A. Fib 14 months ago associated with pancreatitis.

By Eric Prystowsky 8 Videos

66-year-old woman had an episode of A. Fib 14 months ago associated with pancreatitis. The ventricular rate was rapid and she was cardioverted. Dronedarone, verapamil and aspirin were prescribed. She has had no further episodes and is wondering whether she still needs to take medications.

PMH: Hypertension

FH: Father with A. Fib

Medications: Dronedarone 400 mg bid; verapamil SR 120 mg QD; aspirin 81 mg QD; lisinopril

Physical exam: Normal

ECG: Sinus rhythm 62/min; PR 220 ms; QT 410 ms; incomplete RBBB

ECHO: LVEF 65%; LA 3.7 cm; no LVH

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