A 68-year-old retired salesman has a history of an acute myocardial infarction complicated by congestive heart failure (CHF) 1 year ago. Although under appropriate medical management and in sinus rhythm, he presented with a 4-week history of progressive cardiac failure. He had 2 episodes of nocturnal cardiac dyspnea in the past week and was progressively limited in ordinary house and backyard activities. Medications for the management of his CHF were furosemide 20 mg daily, enalapril 20 mg daily, eplerenone 50 mg twice a day, carvedilol 25 mg twice a day, atorvastatin 10 mg daily, and a salt-poor, low-cholesterol-forming diet. On physical examination, he presented with 2+ ankle edema, blood pressure in the right arm was 140/75 mm Hg, respirations 20/min, height 1.75 m (5 ft 9 in), and weight 72 kg (160 lb). There was a positive hepatojugular reflux,...
Cardiology Casebook| July 01 2005
Statin Therapy in Congestive Heart Failure
Kathryn Buchanan Keller, RN, PhD;
Kathryn Buchanan Keller, RN, PhD
The Florida Atlantic University Christine E. Lynn College of Nursing, Boca Raton, Fla (kbk), and the Division of Cardiology, Department of Medicine, University of Miami School of Medicine, Miami, Fla (ll).
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Louis Lemberg, MD
Am J Crit Care (2005) 14 (4): 338–340.
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Kathryn Buchanan Keller, Louis Lemberg; Statin Therapy in Congestive Heart Failure. Am J Crit Care 1 July 2005; 14 (4): 338–340. doi: https://doi.org/10.4037/ajcc2005.14.4.338
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