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The patient is a 65-year-old female brought to the emergency department by her family due to severe shortness of breath. Her vital signs include a blood pressure of 180/90, heart rate of 120, respiratory rate of 34, and oxygen saturation of 80% on room air. The patient needs two to three pillows to sleep due to worsened shortness of breath when lying down. She has a history of a myocardial infarction and congestive heart failure.
