2010 Jan 21 – NEJM Clinical Practice: Systolic Heart Failure

John J.V. McMurray, M.D. NEJM Volume 362:228-238 January 21, 2010 Number 3
A 74-year-old man with a history of hypertension and myocardial infarction that occurred 5 years previously presents with breathlessness on exertion. His current medications include a statin and aspirin. On examination, his pulse is 76 beats per minute and regular, and his blood pressure is 121/74 mm Hg. There is jugular venous distention, lateral displacement of the apex beat, and edema in . . .


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