<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 29-year-old woman with Wolff-Parkinson-White syndrome presents to her cardiologists office for a follow-up visit. She collapsed at her job and made a trip to the emergency department 1 week ago. At that time, she received a diagnosis of atrial fibrillation with rapid ventricular response and hemodynamic instability. While in the emergency department, she underwent direct-current cardioversion to return her heart to sinus rhythm. Her current medications include procainamide. At the cardiologists office, her heart rate is 61min, respiratory rate is 16min, the temperature is 36.5C 97.7F, and blood pressure is 11860 mm Hg. Her cardiac examination reveals a regular rhythm and a IVI systolic ejection murmur best heard at the right upper sternal border. An ECG obtained in the clinic is shown. Which of the following is the most appropriate treatment to prevent further episodes of tachyarrhythmia?? A: Begin anticoagulation with warfarin, B: Begin anticoagulation with dabigatran, C: Add verapamil to her medication regimen, D: Refer her for electrophysiology EP study and ablation, E: Refer her for right heart catheterization,  <response>: This is a medical question asking about the most appropriate treatment for a 29-year-old woman with Wolff-Parkinson-White syndrome who recently had an episode of atrial fibrillation with rapid ventricular response. The key facts are:- Patient has Wolff-Parkinson-White syndrome, which predisposes to tachyarrhythmias like atrial fibrillation - She recently had an episode of hemodynamically unstable atrial fibrillation that required cardioversion- She is currently on procainamide, an antiarrhythmic medication- Her current vital signs and physical exam are unremarkable except for a systolic ejection murmur- The ECG shows findings consistent with WPW syndrome - short PR interval and delta waveThe answer choices include anticoagulation, adding an antiarrhythmic medication, referring for EP study and ablation, and referring for right heart cath. The most appropriate next step would be referral for EP study and ablation choice D. This procedure can eliminate the accessory pathway that predisposes WPW patients to tachyarrhythmias. Anticoagulation and adding antiarrhythmics may help control symptoms but do not address the underlying cause. Right heart cath is not indicated based on the information provided.D: Refer her for electrophysiology EP study and ablation 