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A 65-year-old male patient presented to the emergency department with sudden onset shortness of breath. On admission, he was tachypneic and tachycardic with a heart rate of 120 beats/min, blood pressure of 200/100 mmHg, oxygen saturation of 87% on room air, and a body temperature of 36°C. Physical examination revealed bilateral crackles extending to the mid-lung zones. Acute decompensated heart failure with hypertensive pulmonary edema was suspected, and the patient was started on oxygen therapy
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