I've been experiencing some symptoms that concern me. Please tell me more about your symptoms. I've been having difficulty breathing, especially when lying down. I often wake up in the middle of the night feeling breathless. I've also noticed swelling in my ankles and legs. Have you been coughing? Yes, I've had a persistent cough, and sometimes it produces frothy pink or white sputum. Have you experienced any chest pain or discomfort? Yes, I've been having chest pain that feels like pressure or heaviness, and it tends to radiate to my left arm. Have you noticed any rapid weight gain recently? Yes, I have gained weight quite rapidly over the past few weeks. Do you feel more fatigued than usual? Definitely. I've been feeling extremely tired and lacking energy even with minimal exertion. Have you had any episodes of lightheadedness or dizziness? Yes, I've felt dizzy and lightheaded, especially when I stand up or exert myself. Any history of heart problems or other medical conditions? I don't have any known heart conditions, but I've been diagnosed with high blood pressure and diabetes. Are you currently taking any medications? Yes, I take medication for my high blood pressure and diabetes. Have you ever smoked or been exposed to secondhand smoke? I used to smoke in the past, but I quit several years ago. Do you drink alcohol? I rarely consume alcohol. Any family history of heart disease or related conditions? My father had a heart attack when he was in his 50s. Alright, I will now proceed with a physical examination. Based on your symptoms, there is a possibility of acute heart failure. I will order some tests, including an electrocardiogram (ECG) and echocardiogram, to evaluate your heart's function. We may also need to conduct blood tests and a chest X-ray. We will discuss the results and appropriate treatment options once we have the diagnostic information. Thank you. I appreciate your help and guidance.

TRANSCRIPT='{text}' The above is a transcript between a patient and a doctor in an outpatient clinic appointment. Act as the doctor writing a letter to the patient's general practitioner and summarise the transcript into a summarized clinic letter.