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A 75-year-old man presents to the emergency department with a sensation of a flutter in his chest. He has a past medical history of diabetes and hypertension but is generally not compliant with his medications. His temperature is 98.0°F (36.7°C), blood pressure is 122/78 mm Hg, pulse is 130/min, respirations are 17/min, and oxygen saturation is 98% on room air. Physical exam is notable for an obese man who is not confused, moving all extremities spontaneously, and has a rapid heart rate. An ECG is obtained as seen in Figure A. The patient is asked to bear down while he is laid flat and his legs are elevated resulting in no change in his symptoms or rhythm strip. Which of the following is the best next step in management?
Aspirin and cardiac catheterization
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