January 20, 2010
View Full PaperSystolic Heart Failure
Key Result
Management of systolic heart failure is discussed in the context of a 74-year-old man presenting with breathlessness on exertion, left ventricular dilatation, and an ejection fraction of 33%.
Study Design
Type
Case Report (n=1)
Structured PICO
How should a 74-year-old man with symptomatic systolic heart failure (LVEF 33%), prior myocardial infarction, and hypertension presenting with volume overload be managed?
P
Population
A 74-year-old man with a history of hypertension and remote myocardial infarction presenting with breathlessness on exertion, jugular venous distention, lower limb edema, left ventricular dilatation, and an ejection fraction of 33%.
Presents a clinical vignette of a 74-year-old man with symptomatic systolic heart failure (LVEF 33%) to discuss appropriate management strategies.
Abstract
A 74-year-old man with a history of hypertension and myocardial infarction that had occurred in the remote past presents with breathlessness on exertion. On examination, his pulse is 76 beats per minute and his blood pressure is 121/74 mm Hg. There is jugular venous distention and edema in the lower limbs; the lungs are clear. An echocardiogram shows left ventricular dilatation and an ejection fraction of 33%. How should his case be managed?