It needs to be evaluated by a cardiologist.
If the patient is not having any symptoms and the rate itself is regular (no pauses) then possibly they will just monitor her. If she is having dizziness
or near syncope
, then she may need a pacemaker.
The first thing that would need to be considered before everything else would be her current medications. If she is on any rate limiting medications, they will need to either adjust the doses or stop them. (Examples: Metoprolol
, Carvidelol (Coreg), Cartia, Cardizem
, Digoxin/Lanoxin, Dilitazem, Sotalol, and a few more out there.) Then monitor response.
It's definitely time to make an appointment though, and have her checked out by a cardiologist. Hope this helps.