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Report by: Dr Richard Parris, Consultant in Emergency Medicine
Institution: Royal Bolton Hospital, Bolton, UK
Checked by: Dr Simon Clarke, Consultant in Emergency Medicine
Institution: Frimley Park Hospital, Camberley, UK
A 72-year-old woman with a past history of untreated hypertension presents with palpitations, shortness of breath and ankle swelling for the past 72 h.
Examination shows that she has atrial fibrillation with a ventricular rate of 162 bpm, a blood pressure of 146/78 mm Hg and signs of …