Which of the following is the most appropriate next therapy? A. Spironolactone B. Furosemide C. Bisoprolol D. Lisinopril
Understand the Problem
The question presents a clinical scenario of a 66-year-old man with shortness of breath, history of hypertension, and current medications, followed by lab test results. It is asking which therapy would be the most appropriate next step based on the symptoms and findings.
Answer
Spironolactone
The most appropriate next therapy is Spironolactone.
Answer for screen readers
The most appropriate next therapy is Spironolactone.
More Information
Spironolactone is an effective add-on therapy for many patients, especially those with heart failure or resistant hypertension. It's known to decrease mortality in patients with severe heart failure.
Tips
A common mistake could be not considering the patient's specific conditions such as heart failure, where Spironolactone is often more beneficial compared to the other options.
Sources
- Spironolactone versus placebo, bisoprolol, and doxazosin - pmc.ncbi.nlm.nih.gov
- Spironolactone in Left-Sided Heart Failure: How Does It Fit In? - aafp.org
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