'a heart trouble'- article 'a' here creates ambiguity around the cause of the heart trouble. Can be understood to mean heart disease, but also a troubled emotional state. Additonal meaning emerges as story goes on.
'she would have no one follow her'- 'would have' suggests that others tried to follow but she insisted on being alone. This suggests her independent nature. Significant as later we find out how she likes life better on her own.
'open window'- suggests the possibilities of life. Her facing an open window suggests she is ready to explore them. Chair is comfortable, roomy= positive.
'blind perspective with which men and women'- here she suggests blindness in marrying for tradition. Suggests marriage is not good for men or women.
'elixir'- mythical potion gives eternal life and youth- ironic as she dies within the hour.
'joy that kills'- ironic that the doctors think that she was overjoyed to see him return, when reader knows she was actually devastated. Dramatic irony.
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