Q & A With the Expert on: Congestive Heart Failure
- Thu, 9/10/09 - 12:04pm
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Q: How should a 78-year-old woman with congestive heart failure (CHF) after myocardial infarction be treated?
Case Presentation
A 78-year-old functionally independent woman has a 10-year history of hypertension and dyslipidemia. She developed CHF after an acute myocardial infarction 3 months ago. She has a nonproductive cough when lying down and New York Heart Association (NYHA) class III symptoms (dyspnea with less than ordinary activity). Her current medications include furosemide 40 mg daily, ramipril 10 mg twice daily, rosuvastatin 20 mg daily, diltiazem CD 240 mg dai
Q & A With the Expert on: Atrial Fibrillation
- Thu, 7/9/09 - 3:48pm
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Q: Should a 78-year-old woman with atrial fibrillation with hypertension, diabetes, prior heart failure, and prior stroke without contraindications to warfarin be treated with warfarin or aspirin? If warfarin, to what international normalized ratio?
Case Presentation
A 78-year-old functionally independent woman has had hypertension and diabetes mellitus for the past 1 year. Six months ago, she developed congestive heart failure (CHF) precipitated by an episode of paroxysmal atrial fibrillation (AF), with an average ventricular rate of 165 beats per minute, which resolved
