RT Book, Section
A1 Colin-Ramirez, Eloisa
A1 Arcand, JoAnne
A1 Ezekowitz, Justin A.
A2 Baliga, R. R.
A2 Abraham, William T.
SR Print(0)
ID 1161018009
T1 Diet in 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=1161018009
RD 2024/04/19
AB A  56-year-old  woman  was  brought  to  the  cardiologist  office  for  routine  clinical  examination.  The  patient  showed  signs  of  peripheral  edema,  denied  dyspnea,  New  York  Heart  Association  functional  class  II,  and  was  on  the  following  cardiac  medications:  angiotensin-converting  enzyme  (ACE)  inhibitors,  beta  blockers,  statins,  mineralocorticoid  receptor  antagonists,  and  furosemide.  Her  focused  past  cardiac  history  is  that  of  a  prior  myocardial  infarction,  coronary  artery  bypass  surgery,  prior  heart  failure  hospitalizations,  and  a  known  ejection  fraction  of  35%.  She  also  notes  medical  compliance  but  not  dietary  compliance  and  does  not  feel  that  her  muscle  strength  is  being  maintained.  Serum  electrolytes  were:  sodium,  140  mmol/L;  potassium  ranges  from  4.9  to  5.8  mmol/L;  and  creatinine,  62  μmol/L.  The  woman’s  weight  was  80  kg;  height  was  169  cm;  body  mass  index  (BMI)  was  28  kg/m2.  She  and  her  clinical  team  wonder  if  a  better  focus  on  diet  may  play  a  role.