The GP notes

Impression
36 year old gentleman with palpitations , dizziness and fatigue. These occur once weekly for about an hour.
Anxious.
Pulse-72 and regular, blood pressure 123/71

? Paroxysmal AF

Plan
1 Bloods – U&E, LFT, TFT, FBC, Glucose and cholesterol
2 12 lead ECG 24hr ECG
3 Echocardiogram
4 Anxiety to be re-assessed

Patient education
Anxiety – patient reassured
Possible diagnosis and rationale for investigations explained.
Asked to monitor these symptoms and given advice about escalation of symptoms.
Given advice regarding safe alcohol limits. Current intake >28 units.