5th May 2025

Mrs Jaffe is a 65-year-old lady with a past history of ischaemic heart disease with PCI to the right coronary artery and no other past medical history.

Mrs Jaffe is a 65-year-old lady with a past history of ischaemic heart disease with PCI to the right coronary artery and no other past medical history. On her routine outpatient Cardiology follow-up, it was noted that she was recently experiencing palpitations. Her ECG and blood tests on the day of clinic review were unremarkable. She recently had a 48-hour Holter monitor which was reassuring. A 7-day Holter monitor showed a period of intermittent sinus tachycardia with a period of sinus pause >3 seconds. She asks you what she should do next. She denies any chest pain or shortness of breath on exertion.

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