Acute Decompensated Heart Failure
A 77 year-old male with a past medical history significant for ischemic cardiomyopathy with resultant congestive heart failure (CHF) and an ejection fraction (EF) 35%, diabetes mellitus, hypertension and dyslipidemia presented to the emergency department (ED) with shortness of breath, palpitations, increasing abdominal girth, and lower extremity edema. He states that these symptoms first began two weeks ago, at which time he was asked to increase his outpatient dose of furosemide without improvement of his symptoms. At baseline he is able to perform his activities of daily living: however, he is now becoming dyspneic even with minimal exertion. Additionally, he mentions a new three-pillow orthopnea and an 11 pound weight gain. He denies any dietary indiscretion or excess fluid intake.
KeywordsIschemia Left sided heart failure Therapeutics
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