A 32-year-old woman who is 14 weeks pregnant (gravida 1, para 0) presents with a 6-week history of exertional palpitations and fatigue. She reports severe palpitations that worsen with activity and ...

Ivabradine was well tolerated; only one patient gave up the treatment because of gastrointestinal symptoms. Another important issue related to safety is that no episodes of severe bradycardia or ...

The cardiology literature recommends beta blockers or ivabradine to reduce symptoms and improve exercise ability. Referral to a cardiologist is appropriate given your 10 years of not being evaluated.