Mid-week Case studyCreated by:
78 years old lady, of great baseline, independent in daily activity, with the background history of Ischaemic heart disease, hypercholesterolaemia, hypertension, type 2 diabetes mellitus, was admiited to hospital due to few days history intermittent palpitation, with mild chest heaviness and general unwell. On examination, patient has irregular irrelgular pulse, with blood pressure of 130/85. Her ECG showed atrial fibrillation at the rate of betwen 100-110, with no ischaemic changes. Serial data of CK and Troponin T were negative. ECHO showed atrial fibrillation,EF of 55%, no regional wall akinesis. What is your proposed treatment and management strategy for this lady ?? And why do you do so ?