A 22-year-old female presents to your office

A 22-year-old female presents to your office with a history of palpitations. You can capture the arrhythmia on the monitor in your office: the rhythm strip shows evidence of isolated premature atrial contractions (PACs). She is otherwise healthy and taking no medications, and there is no family history of heart disease. All of the following are salient points of the history with regard to PACs EXCEPT: .Aged cheese consumption Caffeine (Links to an external site.)use Tobacco use Alcohol (Links to an external site.)use COPD Surgery is indicated in which of these patients with valvular disease? An asymptomatic patient with severe mitral regurgitation and a left ventricular ejection fraction (LVEF) of less than 60% An asymptomatic patient with a bicuspid aortic valve Asymptomatic aortic regurgitation with an LVEF of less than 50% on echocardiogram Only symptomatic valvular lesions should be approached surgically A and C Which of the following statements about PACs is true? Mitral valve prolapse is associated with PACs Mitral valve stenosis is associated with PACs Bicuspid aortic valve is associated with PACs None of the above is true This patient is bothered by her PACs. She is rather aware of them and finds them disconcerting. What is the best pharmacologic therapy to consider at this point? Sotalol (Links to an external site.) Metoprolol (Links to an external site.) Trasylol Amiodarone (Links to an external site.) Mountain Dew—lots of it

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