Q:

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

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A patient, 50 year old smoker and heavy drinker, presents with complaints of racing heart. A 24h EKG 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. [Racing heart or palpitation is a common phenomenon in alcoholics which is not serious or harmful. So reassure the patient].

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