A 59 year-old lady presents to the hospital with complaints of exertional shortness of breath for the past few months. This was associated with orthopnea and lower limb swelling. On examination, she had bibasal crepitations on chest auscultation and bipedal oedema to the ankles. She had nil significant past medical history or family history of cardiac disease. Her electrocardiogram revealed normal sinus rhythm with nil ST segment changes. B-type Natriuretic Peptide was raised at 2,430pg/ml and her chest radiograph showed cardiomegaly with signs of pleural effusion.
