Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

A 68-year-old woman has had increasing dyspnea and orthopnea for the past year. She does not report any chestpain. On physical examination, her temperature

A 68-year-old woman has had increasing dyspnea and orthopnea for the past year. She does not report any chestpain. On physical examination, her temperature is 36.9C, pulse is 77/min, respirations are 20/min, and blood pressure is 140/90 mm Hg. On auscultation of the chest, diffuse crackles are heard in all lung fields. No murmurs or gallops are heard, and the heart rate is regular. A chest radiograph shows prominent borders on the left and right sides of the heart. Coronary angiography shows 60% proximal occlusion of the right coronary and circumflex arteries, and 50% occlusion over the first 3 cm of the left anterior descending artery. Echocardiography shows no valvular abnormalities, but there is decreased left ventricular wall motion and an ejection fraction of 33% Laboratory studies show serum glucose of 81 mg/dL, creatinine of 1.6 mg/dL, total cholesterol of 326 mg/dL, triglyceride of 169 mg/dL, and troponin I of 1 ng/mL. Which of the following pharmacologic agents is most likely to be beneficial in the treatment of this patient? (A) Amiodarone (B) Glyburide (C) Nitroglycerin (D) Propranolol (E) Simvastatin (F) Alteplase

Step by Step Solution

3.29 Rating (155 Votes )

There are 3 Steps involved in it

Step: 1

The detailed ... blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Principles of Operations Management Sustainability and Supply Chain Management

Authors: Jay Heizer, Barry Render, Chuck Munson

10th edition

978-0134183954, 134183959, 134181980, 978-0134181981

More Books

Students also viewed these Medical Sciences questions

Question

Develop a Process Chart for making a grilled cheese sandwich.

Answered: 1 week ago