Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 68yo Man | Cardiology | SMLE Q#10980
SMLE Question #10980
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 68-year-old man with type 2 diabetes mellitus and long-standing hypertension attends a routine clinic visit. Six months ago, his ECG was normal. Today, examination finds an irregular pulse; ECG confirms atrial fibrillation with a ventricular rate of 70/min. He had a transient ischemic attack 3 years ago. He denies chest pain, dyspnea, syncope, or palpitations. What is the most appropriate management plan at this time?
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