Question

A 69 y/o woman with ischemic cardiomyopathy, HTN, asthma and dyslipidemia, her most recent LVEF was 30%, her daily activities are limited by dyspnea and fatigue, Today, she is euvolemic (no edema), Current medications: Lisinopril, Furosemide, bisoprolol, Atorvastatin. BP 112/ 78 , HR:

79, Which of the following is the best action to take regarding her HF regimen at this time:
• a. Continue current regimen
• b. Change carvedilol to nifidipine
• c. Add amlodipine once daily
• d. Add hydralazine and isosorbide dinitrate
e.
None of the options is true

Answer 1

The best action would be to add hydralazine and isosorbide dinitrate to the current HF regimen. So the correct answer is Option D.

Step-by-step explanation:

The best action to take regarding the HF regimen of the 69-year-old woman with ischemic cardiomyopathy, HTN, asthma, and dyslipidemia at this time would be to add hydralazine and isosorbide dinitrate to her current regimen. The addition of hydralazine and isosorbide dinitrate has been shown to improve outcomes in patients with heart failure, especially in those with reduced ejection fraction and African American patients. These medications help to reduce afterload and improve vasodilation, which can alleviate symptoms such as dyspnea and fatigue.