Q1: Causes of atrial fibrillation A 58-year-old woman comes to the emergency department with a-3-days history of difficulty breathing and unpleasant feeling of rapid and irregular heartbeats. Additional history taking reveals that she has a 7- week-history of unintentional weight loss, anxiety, and difficulty sleeping at night. She smokes 10 cigarettes per day for the past 15 years. Her blood pressure is 100/55 mmHg, temperature is 36.5 °C and her pulse is irregular at a rate of 140 to 150 beats