Case 380

Medical History

A 72-year-old male was admitted to the hospital after presenting with chest pain, progressive dyspnea, nausea and peripheral edema. Physical examination demonstrated adequate blood pressure levels and peripheral perfusion. Electrocardiography did not indicate any acute abnormality, and troponin levels were normal. Transthoracic echocardiography showed left ventricular ejection fraction of 42%, left ventricle segmental contractility alterations and mild systolic dysfunction. Previous history of two myocardial infarctions without ST elevation and right coronary angioplasty. Chest radiograph was performed.

Considering the previous history and the current clinical-hemodynamic repercussions, what is the most appropriate therapeutic approach?

Test Question

UDI HOSPITAL – MA (2017) Which are the main precipitating factors of cardiac decompensation in chronic hypertensive heart failure?

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