Systolic heart failure

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  • Rosenberger P
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Abstract

A 74-year-old man with a history of hypertension and myocardial infarction that occurred 5 years previously presents with breathlessness on exertion. His current medications include a statin and aspirin. On examination, his pulse is 76 beats per minute and regular, and his blood pressure is 121/74 mm Hg. There is jugular ve- nous distention, lateral displacement of the apex beat, and edema in his lower limbs. The lung examination is normal. An echocardiogram shows left ventricular dilata- tion, globally reduced contractility, and an ejection fraction of 33%. How should his case be managed? THE

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Authors

  • Janek Henes

  • Peter Rosenberger

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