Minie: female with rheumatic mitral valve disease.

I am Minie, a 75-year-old woman with rheumatic mitral valve disease treated with a mitral bioprosthesis 10 years ago. I am here at

the cardiologist’s office for management of my AF.

AF was first diagnosed 4 years ago and I have failed numerous electrical cardioversions, hence I am constantly on AF. I still

experience a sense of palpitations, especially when I climb stairs, despite taking a small dose of beta-blocker.

My primary care physician recommended adding some digoxin to my regimen.

What should I do?