HEART FAILUREClinical Case #003

65-Year-Old Male With Worsening Dyspnea

Patient Presentation

Age: 65

Gender: Male

Onset: Progressive over 2 weeks

History: Prior myocardial infarction

Symptoms

Progressive exertional dyspnea, orthopnea, and bilateral leg swelling over 2 weeks. Known prior MI.

Vitals & Findings

BP 118/76, HR 92, SpO2 93% on room air, bilateral lower extremity edema, elevated JVP.

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What would you do next?

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