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Management of Stage D Heart Failure

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Clinical Cases in Heart Failure

Part of the book series: Clinical Cases in Cardiology ((CCC))

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Abstract

A 62 year old male with hypertension, hyperlipidemia, and ischemic cardiomyopathy with a left ventricular ejection fraction of 25% and a left ventricular end-diastolic dimension of 7 cm presented with 2 weeks of progressive weight gain, orthopnea, paroxysmal nocturnal dyspnea (PND), and dyspnea on exertion. Recent dose increase of outpatient diuretics did not provide relief of his symptoms. He was dyspneic with activities of daily living, had a poor appetite, and was frequently fatigued with occasional lightheadedness. He had no chest pain, palpitations or any other acute illnesses. He was adherent to medications, which included carvedilol, lisinopril, spironolactone, and torsemide. He underwent cardiac resynchronization therapy and defibrillator placement 2 years ago. This was his third admission to the hospital in the preceding 6 months.

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Authors and Affiliations

  1. Beth Israel Deaconess Medical Center, Boston, MA, USA

    Ian McCormick & Pablo A. Quintero

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  1. Ian McCormick
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  2. Pablo A. Quintero
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Correspondence to Pablo A. Quintero .

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Editors and Affiliations

  1. Department of Medicine and Cardiology , Massachusetts General Hospital , Boston, Massachusetts, USA

    Ravi V. Shah

  2. Providence VA Medical Center, Providence, Rhode Island, USA

    Siddique A. Abbasi

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McCormick, I., Quintero, P.A. (2018). Management of Stage D Heart Failure. In: Shah, R., Abbasi, S. (eds) Clinical Cases in Heart Failure. Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-65804-9_7

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  • DOI: https://doi.org/10.1007/978-3-319-65804-9_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65803-2

  • Online ISBN: 978-3-319-65804-9

  • eBook Packages: MedicineMedicine (R0)

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