48 years old

Raza is a 48 yr old man who has been called to the surgery for his annual hypertensive clinic.

• RAZA - thought bubble - I cant cycle to work anymore and my heart is beating hard in my chest. Am I just unfit or is there something going on?
• Raza (says) Im not sure of I should mention this but I can"t do as much as I used to and my heart feels funny at times.
PN -thought bubble - I wonder why this guy is breathless, I think it might be heart failure - what should I look for?
• PN (says) As you are here for a health check let us do some investigations to find out why you are not feeling so good.