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%.
Case Report (n=1)
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?
Presents a clinical vignette of a 74-year-old man with symptomatic systolic heart failure (LVEF 33%) to discuss appropriate management strategies.
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?
John J.V. McMurray (2010) conducted a case report in Systolic Heart Failure (n=1). 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%.