Her PMH is significant for hypertension, atrial fibrillation, gastroesophageal reflux disease, insomnia, and rheumatoid arthritis. She is currently taking Digoxin, Lisinopril, Metoprolol, Omeprazole, Aspirin EC, Citalopram, and Acetaminophen with Hydrocodone. The patient reports an allergy to sulfa-based antibiotics. Her past surgical history is significant for a hysterectomy at age 60 and bladder resuspension at age 67. She also underwent placement of a pacemaker/defibrillator at age 75. She reports no tobacco or alcohol use.