ABSTRACT
An 85-year-old lady was admitted from a nursing home to the emergency department complaining of worsening shortness of breath and a sensation that her heart was ‘racing’. She denied symptoms of chest pain and cough and reported feeling well over recent weeks aside from intermittent episodes of palpitations. Her past medical history included hypertension, ischaemic heart disease and heart failure, as well as a previous episode of atrial fibrillation when she had a community-acquired pneumonia last year. Her regular medications were ramipril 10 mg OD, bendroflumethiazide 2.5 mg OD and digoxin 125 μg OD.
