Click on one of the 3 tabs below to switch between different type of heart failure patients
53-Year old-Women
Key signs and symptoms
Acute decompensated heart failure requiring admission
for intravenous diuretic – LVEF 25%
Medical history
Diabetes mellitus for the last 3 years
Chronic heart failure for the last 2 years
Clinical examination
BP 120/80 mmHg
Heart rate 72/min
Pulmonary congestion with pedal edema
Potassium 4.2 mmol/L
Creatinine 90 Umol/L,
HbA1c 7.1%
BMI-22
Medications
Enalapril 10 mg bid
Bisoprolol 10 mg od
Spironolactone 25 mg od
Ivabradine 5 mg bid
Loop diuretic
Metformin 500 mg bid
Empagliflozin 10 mg od
A repeat NT-proBNP result would be recommended before discharge as natriuretic peptides have prognostic value in heart failure.
45-year old man
Key signs and symptoms
New referral to the heart failure clinic ,
NYHA class 2 , LVEF 35%
Medical history
Hypertension for the last 10 years
Chronic heart failure for the last 2 years
Acute myocardial infarction 7 years ago
Clinical examination
BP 110/70 mmHg
Heart rate 68/min
No evidence of fluid overload
Potassium 4.0 mmol/L
Creatinine 130 Umol/L
LDL 1.9 mmol/L
BMI-23
Medications
Sacubitril/Valsartan 200 mg bid
Carvedilol 25 mg bid
Spironolactone 25 mg od
Loop diuretic
Aspirin 100 mg od
Atorvastatin 40 mg on
65-year old man
Key signs and symptoms
Follow up in general cardiology clinic NYHA class 1,
LVEF 38%
Medical history
Hypertension for the last 15 years
Dyslipidaemia for the last 15 years
Coronary artery bypass surgery 10 years ago
Clinical examination
BP 115/70 mmHg
Heart rate 65/min
No evidence of fluid overload
Potassium 3.8 mmol/L
Creatinine 80 Umol/L
LDL 1.8 mmol/L
BMI-19
Medications
Sacubitril/Valsartan 100 mg bid
Bisorprolol 10 mg od
Spironolactone 25 mg od
Aspirin 100 mg od
Rosuvastatin 10 mg od
