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A 35-year-old patient presents to the office with intermittent palpitations. They have been ongoing for the last 2 days. The patient denies any aggravating factors.

A 35-year-old patient presents to the office with intermittent palpitations. They have been ongoing for the last 2 days. The patient denies any aggravating factors. Her medical history is unremarkable. An electrocardiogram (ECG) is performed in the office and is shown in Figure 23. What diagnostics should be ordered on this patient?

(A) B-type natriuretic peptide (BNP)

(B) Thyroid stimulating hormone

(C) Myocardial perfusion scan

(D) Troponin I and T

(E) Calcium score

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