Dorothy Howard is a 72 year old female presenting to the emergency department with shortness of breath that has been getting progressively worse over the last three days. She has a history of myocardial infarction 3 years ago, hypertension and osteoarthritis. She has had difficulty sleeping, feels fatigued and has had trouble with activities of daily living. The ECHO shows an ejection fraction of 40% Her observations were as follows: 140/80 BP, 80 HR, 26RR, 93% Sp02, temp 37.2 °C 1) What risk factors does Ms Howard have for heart failure (at least 2)?