Dr Allam Harfoush
Case presentation
A 60-year-old, nonsmoking, white woman presented with a severe dyspnoea and cyanosis to the emergency department. The woman was visiting her siblings when a sudden dyspnoea evolved; patient history showed that the woman had hypertension treated orally for 10 years (treated with perindopril 4 mg and bisoprolol 5 mg) and recently diagnosed diabetes (not treated).
Table 1. Results of investigations
The patient neglected any chest/epigastric discomfort or pain, no recent cough or sputum, no history of anginal pain or orthopnoea. No history of recent psychological or emotional stress. Inspection revealed a respi