Heart Failure With a Better Ejection Fraction
نویسندگان
چکیده
Consider the following clinical scenarios: (1) a 67-yearold man presents for follow-up of recent coronary bypass surgery. He had presented 6 months ago with heart failure, severe 3-vessel coronary disease, and a left ventricular ejection fraction (LVEF) of 30%. He has done well and remains asymptomatic on metoprolol succinate, lisinopril, eplerenone, and occasional furosemide. Repeat echocardiography notes his LVEF is now 55%. He wants to know how long he needs to continue these medications. (2) A 45-year-old woman with an idiopathic dilated cardiomyopathy is seen for routine evaluation. Since her diagnosis, 8 months ago, she has done well on carvedilol, losartan, and spironolactone; she does not require other diuretics. Repeat echocardiography documents an improvement in LVEF from 15% to 60%. She wants to know what her prognosis is. What do you tell them?
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