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The patient stated he had a long history of well-controlled hypertension for which he was compliant with his ACE-inhibitor. It is also not a wandering pacemaker — because change in atrial pacing site is gradual with that disorder. He was also treated for erectile dysfunction but had not taken any medications recently.
Fourthly, we need to educate the patient on the condition in jargon-free and reassuring language on what risk factors and lifestyle choices may have led to the development of the condition and on practical ways to modify those risk factors as aggressively as possible.
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