Reference no: EM133758996

Question

A 62-year-old man presents to the emergency department after experiencing a syncopal episode while playing basketball one hour ago. The episode, which lasted about 30 seconds, was witnessed by his grandson, and the patient reports feeling only fatigue following the event. He denies any preceding symptoms. His medical history includes hyperlipidemia, and he is currently on rosuvastatin. Temperature is 37°C (98.6°F), pulse is 68/min, respirations are 14/min, and blood pressure is 128/74 mmHg. A late-peaking, grade 4/6 systolic murmur is best heard at the right upper sternal border, with radiation to the carotid arteries. An ECG shows evidence of left ventricular hypertrophy. Which of the following is the most appropriate next step in management? Elimination tool Inpatient cardiac monitoring and workup Oral rehydration and observation Tilt-table testing Reassurance and discharge home Ambulatory ECG monitoring.