Review Question - QID 213197

A 32-year-old man presents to the primary care clinic for a health maintenance exam. He feels well other than a residual dry cough he has from a “cold” that started 2 weeks ago. Both his medical and surgical history are unremarkable. He takes a daily multivitamin and fish oil. He denies tobacco, alcohol, or recreational drug use. His mother has coronary artery disease, and his father has Wolff-Parkinson-White syndrome. He eats a high protein diet and has been training for a marathon. His temperature is 98.6°F (37.0°C), pulse is 55/min, blood pressure is 110/70 mmHg, and respirations are 16/min. Examination reveals a healthy appearing man. Auscultation reveals a normal S1 and S2 with no murmurs, rubs, or gallops. The patient requests an electrocardiogram given his family history of heart disease. The electrocardiogram is shown in Figure A. Which of the following is the most appropriate next step in management?