Prep4USMLE Forum » USMLE STEP 3 Forum » USMLE Step 3 CCS Forum |   pt. with history of congestive heart failure.

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doc4mindia Forum Guru Topics: 134 Posts: 243	10/19/04 - 07:50 AM             #1 pt. with history of congestive heart failure...visits clinic for routine exam and has no complaints....her ejection fraction been stable at 25% for many years.Medications are: high dose of enalapril, furosemide, digoxin,daily aspirin. Physical exam is unremarkable except for 1+ edema (ankles). The most appropriate next step in management?
prep4usmle Administrator Topics: 288 Posts: 1,182	10/19/04 - 09:03 AM             #2 Add spironolactone (diuretic effect + inhibition of local AgII receptors in miocard). Might consider new diuretics. ___________________ ••• Support our forum » Upgrade to premium membership!
Babby_blue Forum Newbie Topics: 0 Posts: 11	11/08/04 - 03:51 PM             #3 Is it necessary to add beta blocker? If CHF is stable, the standard of care is to add beta blocker :?: please, clarify. Thanks!

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