LM is a 92-year-old female with a

LM is a 92-year-old female with a past medical history of chronic kidney disease stage 4, diabetes mellitus, coronary artery disease, atrial fibrillation on Eliquis, Chronic obstructive pulmonary disease, heart failure, gout, hypertension, hyperlipidemia, hypothyroidism on oxygen 2L nasal cannula. Who presented to the emergency room with complaints of shortness of breath. On assessment, the patient denied any chest pain, fever, chills, nausea, vomiting, diarrhea, abdominal pain, dizziness. In the emergency room, she was found to be in atrial fibrillation with RVR and congestive heart failure. Describe the relationship between the current complaint and primary medical diagnosis:

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