3) A 60-year-old woman presents with intermittent episodes of intense palpitations that are occasionally associated with exertion. She denies any chest pain, shortness of breath, or dizziness. She has a history of hypertension and transient ischemic attack with a normal evaluation. She currently takes ramipril, atorvastatin, and aspirin. Vital signs are normal. Physical examination findings include clear breath sounds and no murmur with normal heart sounds. ECG is normal. A Holter monitor is placed which reveals multiple episodes of an abnormal rhythm. A sample is shown below. What medication adjustments should be made at this time?
