History of palpitations

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A previously healthy 34-year-old female presents with a 1-hour history of palpitations. She does not have a cough, shortness of breath, wheezing, or chest pain. She does not take any medications or supplements and does not use alcohol or illicit drugs. She is alert and in no acute distress, but is aware of her fast heart rate. An examination is normal other than the cardiac examination. An EKG is shown below. What would be a common lab abnormality that could lead to the finding of atrial fibrillation in this setting?

Reference no: EM133695556

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