Emergency Department Report - Admitted to Observation Patient : Sex Female Age 86 HISTORY OF PRESENT ILLNESS Chief Complaint : PITA FAST HEART RATE and DIZZINESS . This started today and is still present . It is described as a fast heart beat . The patient complains of dizziness and weakness . Modifying factors- worsened by walking and exertion . Relieved by rest . She has had difficulty breathing ( today ) . The patient has had dizziness . No chest pain or discomfort , sweating episodes , fainting episodes tingling . No muscle spasms .