Case presentation An 83-year-old female with intermittent palpitations since the last year is admitted to the emergency department. She had been experiencing progressive fatigue and declining exercise intolerance over the previous three months. She had difficulty walking for a short distance.
Body vitals Temperature – 98.1°F Heart rate – 70 beats/min, irregularly irregular rhythm Blood pressure – 125/68 mmHg sitting & 110/60 mmHg standing Respiratory rate – 16 breaths/min Oxygen saturation – 96% Body mass index – 28.7 Initial examination Absence of chest pain, breathing trouble, hematemesis, hematuria, black stool, hematochezia Absence of vomiting, cough, anal pruritus, respiratory symptoms, trouble in bladder or bowel habits, depression, weight changes, sleeping trouble Eating healthy The patient was pale but had no difficulty speaking. Clear lung auscultation Medical history Atrial…
