ABSTRACT

History of presenting complaint After retiring, and adopting a more sedentary lifestyle, the patient first became aware of something wrong when he was sitting quietly, reading the newspaper. He noticed that every now and then, his heart appeared to ‘miss a beat’. Although he still enjoyed his normal weekend walking and badminton, he was anxious in case the missed beats were a sign of heart disease, as his mother had recently died of a ‘massive heart attack’. He reported his concerns to his family doctor.