Abstract

A 75-year-old Asian woman was admitted following a sudden collapse at home. She had a short history of feeling generally unwell with nausea and vomiting. On arrival she was clammy with a heart rate of 200 bpm, systolic blood pressure 100 mm Hg. An ECG showed broad complex tachycardia. This spontaneously reverted to “atrial fibrillation” and she was transferred to the coronary care unit for observation. She had a past history of hypertension treated with enalapril 5 mg daily, and took omeprazole 20 mg daily.

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