RT Book, Section
A1 Stewart, Simon
A1 Keates, Ashley K.
A2 Baliga, R. R.
A2 Abraham, William T.
SR Print(0)
ID 1161014881
T1 Economics of Heart Failure
T2 Color Atlas and Synopsis of Heart Failure
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749381
LK accesscardiology.mhmedical.com/content.aspx?aid=1161014881
RD 2024/04/19
AB A  72-year-old  man  with  a  history  of  coronary  artery  disease  is  admitted  with  acute  pulmonary  edema  secondary  to  acute  coronary  syndrome  (confirmed  by  12-lead  ECG  and  a  positive  high-sensitivity  troponin  test).  Following  initial  emergency  management  with  intravenous  loop  diuretics,  nitrate  therapy,  and  continuous-positive  airway  pressure  support,  he  is  admitted  to  the  hospital’s  coronary  care  unit  for  2  days  and  then  spends  a  further  5  days  in  a  general  medical  unit.  A  coronary  angiogram  shows  that  a  previous  drug-eluting  stent  in  the  right  coronary  artery  remains  patent,  but  there  is  evidence  of  progressive  diffuse  disease  in  the  left  anterior  descending  and  circumflex  artery.  Echocardiography  reveals  morphological  and  functional  changes  indicative  of  ischemic  cardiomyopathy  with  left  ventricular  systolic  dysfunction  (left  ventricular  ejection  fraction  of  38%).  Discharged  to  home  on  gold-standard  medical  therapy  with  follow-up  by  an  outpatient  heart  failure  management  team,  he  is  diagnosed  with  chronic  heart  failure  (NYHA  class  II-III  but  clinically  stable)  requiring  ongoing  surveillance  and  treatment.