what to do next for this man?
A colleague rang me this morning about a 65 year old man.
background ischaemic cardiomyopathy -angio last week no targets for revascularisation
suitable for a bivent ICD as EF 25% and has lbbb on ecg
worsening heart failure - put on 3kg over past 24 hours on furosemide 80mg / 40 mg iv, spironolactone 25mg, ramipril 2.5mg and bisoprolol 5mg
BP 120 systolic, creatinine 110 , sodium now 122 (was normal 1 week ago)
what would you do next?
sadian
Source: Doc2Doc BMJ Cardiology - Category: Cardiology Authors: sadian Source Type: forums
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