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53-Year old-Women
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Key signs and symptoms
Acute decompensated heart failure requiring admission
for intravenous diuretic – LVEF 25%
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Medical history
Diabetes mellitus for the last 3 years
Chronic heart failure for the last 2 years
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Clinical examination
BP 120/80 mmHg
Heart rate 72/min
Pulmonary congestion with pedal edema
Potassium 4.2 mmol/L
Creatinine 90 Umol/L,
HbA1c 7.1%
BMI-22
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Medications
Enalapril 10 mg bid
Bisoprolol 10 mg od
Spironolactone 25 mg od
Ivabradine 5 mg bid
Loop diuretic
Metformin 500 mg bid
Empagliflozin 10 mg od
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