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im going to try to go through the first half hour is arrhythmias in heart failure and the second is going to be devices and im trying to basically hit the highlights of what i think will show up both in terms of boards and also what you need to know in terms of taking care of patients im going to put a timer on here so i make sure i dont keep you one minute longer than i need to okay um so im going to put some cases in here to keep you involved and heres the first one a 70 i have very short stems because i dont like long paragraph stems um 72 year old woman with persistent atrial fibrillation her ejection fraction in 2011 was 50 percent and then it was noted to have dropped a little two years later and then it was noted to have dropped further by 2015. shes on metoprolol succinate 100 milligrams twice daily shes on shes on lysinopril warfarin and lasix she reports dyspnea with slow walking and some leg edema so she has heart failure so the question uh about her relat
