Prep for USMLEPrep for USMLE
         Forum      |     Resources New Posts   |   Register   |   Login





 pt. with history of congestive heart failure.  



Post Reply  
  • 0/5
  • 1
  • 2
  • 3
  • 4
  • 5


Author3 Posts
  #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?




  #2

Add spironolactone (diuretic effect + inhibition of local AgII receptors in miocard). Might consider new diuretics.


  #3

Is it necessary to add beta blocker? If CHF is stable, the standard of care is to add beta blocker :?: please, clarify. Thanks!





Bookmark and Share



This thread is closed, so you cannot post a reply.



Login or Register to post messages








show Similar forum topics

congestive heart failure
Congestive heart failure
Congestive Heart failure
show Related resources

Heart Sounds and Murmurs
Bates Physical Examination & History
Heart Sounds and Cardiac Arrhythmias








Advertise | Support | Premium | Contact