TY - CHAP M1 - Book, Section TI - Neurohormonal Blockade in Heart Failure A1 - Kayani, Waleed A1 - Deswal, Anita A2 - Baliga, R. R. A2 - Abraham, William T. PY - 2018 T2 - Color Atlas and Synopsis of Heart Failure AB - A 55-year-old man with hypertension, diabetes mellitus and recent drug eluting stent placement to left anterior descending (LAD) artery after suffering a myocardial infarction comes to your clinic after being discharged from the hospital. He is able to carry out daily activities with ease but reports getting short of breath on climbing 2 sets of stairs. An echocardiogram done during the hospitalization revealed an left ventricular ejection fraction (LVEF) of 35%-39% with wall motion abnormalities in LAD territory. He mentions compliance with his regimen of Aspirin 81 mg once daily, Clopidogrel 75 mg once daily, Amlodipine 5 mg, Atorvastatin 80 mg and Furosemide 20 mg once daily. On examination his blood pressure is 147/87 and heart rate 76 beats per minute, he appears in no acute distress, JVP is 7 cm H2O, lungs are clear, heart sounds are regular with no murmurs and no lower extremity edema is noted. He asks about additional therapies to help recover improve his heart function and quality of life. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesscardiology.mhmedical.com/content.aspx?aid=1161018254 ER -