An 84-year-old patient has increasing CHF symptoms, angina, and a diastolic, decrescendo murmur. A widened pulse pressure and a “waterhammer” pulse are detected on exam. A transthoracic echocardiogram...


An 84-year-old patient has increasing CHF symptoms, angina, and a diastolic, decrescendo murmur. A widened pulse pressure and a “waterhammer” pulse are detected on exam. A transthoracic echocardiogram reveals severe aortic insufficiency with moderate LV enlargement and moderate systolic dysfunction.A recent cardiac catheterization revealed no significant epicardial coronary disease. Which of the following interventions would worsen the patient’s condition?


A. ACE inhibitors


B. Diuresis


C. Digoxin


D. Hydralazine


E. Beta-blockers



May 03, 2022
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