A 78-year-old man diagnosed with heart failure due to left ventricular dysfunction is currently on aspirin 75 mg OD, simvastatin 40 mg OD, and furosemide 40 mg OD. On examination,... A 78-year-old man diagnosed with heart failure due to left ventricular dysfunction is currently on aspirin 75 mg OD, simvastatin 40 mg OD, and furosemide 40 mg OD. On examination, heart sounds are normal, his chest is clear, and there is no peripheral edema. Which of the following is the most appropriate drug therapy to initiate at this stage? A. Digoxin B. Enalopril C. Hydralazine D. Spironolactone
Understand the Problem
The question is asking for the most appropriate drug therapy to initiate for an elderly patient diagnosed with heart failure due to left ventricular dysfunction, given his current medications and examination findings.
Answer
Enalapril
The most appropriate drug therapy to initiate is Enalapril.
Answer for screen readers
The most appropriate drug therapy to initiate is Enalapril.
More Information
Enalapril is an ACE inhibitor that reduces the progression of heart failure by lowering blood pressure and increasing cardiac output, making it a key component in managing heart failure with left ventricular dysfunction.
Tips
A common mistake is not considering the role of ACE inhibitors in heart failure management, which can lead to missing their benefits in reducing mortality and morbidity.
Sources
- 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure - ahajournals.org
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