3 Weeks Of Palpitations in Medicine / Internal Medicine — 62yo Man | Endocrinology | SMLE Q#1425
SMLE Question #1425
Medicine / Internal Medicine
Endocrinology
Last updated: February 2026
A 62-year-old man with chronic atrial fibrillation and major depressive disorder presents with 3 weeks of palpitations, insomnia, and increased irritability. He reports adherence to warfarin, metoprolol, and an SSRI. He denies chest pain, dyspnea, weight loss, and substance use. Physical examination is otherwise unremarkable. What is the most appropriate next step in management?
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