Q. A 21-year-old Caucasian female patient presents to your clinic with her mother to establish care after relocating from California for a new position. She presents with complaints of “funny sensation” in her chest, syncope, fatigue, and dizziness for the last three weeks. Her mother claims that her daughter does not look like herself after losing 13 pounds in the last month and experiencing insomnia, which she attributes to stress from work. The patient also noted that she did not menstruate last month. Her medical history includes Celiac Disease and she is not currently taking any medications. Her family history includes Type 1 Diabetes Mellitus on the mother’s side and Hypertension in the father. The patient does not drink alcohol, use tobacco, or illicit drugs.
Blood pressure is 144/70 mm Hg and pulse is 112/min. Physical examination shows warm skin. A pregnancy test is done and beta hCG level is 4 IU/L (Normal < 5 IU/L).
Which of the following is the next best step according to the ECG below?