MRCP2-0500

A 75-year-old woman presents to your Cardiology Clinic for routine check-up. She has a history of stable heart failure (NYHA II) caused by ischaemic cardiomyopathy and chronic atrial fibrillation (AF) for which she is taking warfarin. Her recent ECHO showed biatrial dilation. She is currently on digoxin 125 μg once a day, furosemide 40 mg once a day, ramipril 2.5 mg once a day and bisoprolol 2.5 mg. During examination, her resting pulse is 63 bpm with a BP of 130/80 mmHg. Her INR today was 2.5. She is curious if there are any advantages to being cardioverted to normal sinus rhythm. What would be your advice to her?