Which is the most appropriate step in management

Reference no: EM133698690

Problem: A 24-year-old man is evaluated for sudden-onset of "racing heartbeat" and "chest pain. He is diaphoretic and complains of nausea and dyspnea. He has a "feeling of dread" and he states that he came to the emergency department because he was afraid he was going to die. He has been evaluated in the ED four times in the past 6 months for similar episodes. He denies other medical problems and his parents are both alive and healthy. He does not drink, smoke, or use drugs. He states he has a "feeling of dread" and he is afraid he will die. Blood pressure is 145/95 mm Hg with respirations of 20/minutes and heart rate of 92/minute. EKG shows normal sinus rhythm. Family history is unremarkable. Which is the most appropriate step in management?

Reference no: EM133698690

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