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A 36-Year-Old Man Comes to the Emergency Department Due to a Sudden

question 191

Multiple Choice

A 36-year-old man comes to the emergency department due to a sudden onset of chest fluttering, dizziness, and weakness that started after breakfast an hour ago. He has had no chest pain or shortness of breath. The patient had a similar episode a month ago that woke him up from sleep, after which he went to the emergency department and was diagnosed with atrial fibrillation. The episode terminated spontaneously, and he was discharged with metoprolol and low-dose aspirin. Since then, the patient had been feeling well until today's symptoms began. Medical history is otherwise insignificant, and he has no family history of heart disease. The patient jogs 2 miles daily and tries to eat "healthy." He used to drink beer on the weekends, but he has abstained from alcohol for the past month. He is a lifelong nonsmoker.
Blood pressure is 118/67 mm Hg and pulse is 144/min and irregular. BMI is 26 kg/m². The lungs are clear to auscultation.
ECG shows atrial fibrillation with rapid ventricular response. Transthoracic echocardiogram shows normal left ventricular size and function. Complete blood count and metabolic panel are unremarkable. TSH is 2.5 µU/mL.
After initial evaluation, electrical cardioversion is performed, which successfully restores normal sinus rhythm.
Which of the following is the best next step in management of this patient?

Definitions:

Compliance

Adherence to laws, regulations, guidelines, and specifications relevant to an organization's business activities.

Exacting Organizational Culture

A corporate environment that demands high levels of performance and adherence to strict standards and procedures.

Corporate Culture

Refers to the shared values, beliefs, and practices that shape how a company's employees behave and interact with each other and with stakeholders.

Reward Power

The capacity to influence others' behavior by offering them something desirable in return.