Q:

A 50 year old smoker and heavy drinker presents with complaints of racing heart. A 24 hour ECG comes out normal. What is your next step in management?

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A 50 year old smoker and heavy drinker presents with complaints of racing heart. A 24 hour ECG comes out normal. What is your next step in management?


  1. ECHO
  2. Reassure
  3. Stress test

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The key is B. Reassure. [Smoking and alcohol excess can cause palpitation without any recognizable arrhythmia and for this no treatment is required].

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