A 31-year-old woman complains of palpitations, breathlessness and chest pain, radiating to the left arm. She had been well and developed symptoms six weeks ago when her father died of a heart attack. She has no risk factors.
She complains of difficulty in falling asleep at night. She has had abdominal pain, backache, headache, and numbness of the limbs for several years, for which she has taken a treatment repeatedly.