Question of the Week: A 35-year-old white female schoolteacher presents with anxiety, fatigue, and insomnia. The symptoms began after a heart murmur was discovered on a routine physical examination. An echocardiogram revealed mild mitral valve prolapse. A student at her school recently died suddenly on a school field trip because of undiagnosed idiopathic hypertrophic cardiomyopathy and the patient is now afraid she will die in a similar manner. She is anxious, sleepless, and fearful of physical activity. You perform a physical examination and EKG, with normal results. Which one of the following would be most appropriate at this point? A - Reassurance regarding the benign course of her condition B - A stress test C - Clonazepam (Klonopin) D - Referral to a cardiologist E - Referral for group psychotherapy
Posted on: Mon, 02 Jun 2014 12:24:08 +0000