 |  q40-7 dyspnea
|
|
| Author | 2 Posts |
robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
A 76-year-old male presents for the evaluation of progressively worsening dyspnea. He complains of dyspnea at rest. He denies any chest pain, cough or ankle edema. He does not smoke or drink alcohol. His past medical history is insignificant and he denies any asthma, COPD, diabetes mellitus and coronary artery disease. He does not take any medication. He has essential HTN. Examination of his precordium shows a non-displaced, heaving apical impulse. Cardiac auscultation shows an S4 gallop. Auscultation of lungs shows bilateral basal crepitations. Chest X-ray shows normal cardiac silhouette and pulmonary infiltrates. EKG shows evidence of left ventricular hypertrophy. Echocardiography shows normal left ventricular end-diastolic volume and normal ejection fraction. Which of the following is the most appropriate pharmacological measure in this patient?
A. Beta-blockers
B. Calcium channel blockers
C. Digoxin
D. Diuretics
E. ACE inhibitors
___________________
The Key to Succeed is Patience.
|
| sarika
Forum Guru
Topics: 195
Posts: 1,200
|
D. Diuretics
|
|
| |
| | |
You don't have permission to post.
|
