TY - CHAP M1 - Book, Section TI - Heart Failure A1 - Chumley, Heidi S. A1 - Rivera, Nina A1 - Delzell, Jr, John E. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 60-year-old man presents to the emergency department with exertional shortness of breath increasing in severity over the past several days, along with paroxysmal nocturnal dyspnea and orthopnea. He does not have a history of heart failure or previous myocardial infarction. On examination, it was found that he had a third heart sound and an elevated jugular venous pressure. His chest radiograph showed cardiomegaly (Figure 50-1) and his B-type natriuretic peptide (BNP) was elevated at 600 pg/mL. He was diagnosed with heart failure, evaluated for underlying causes including coronary artery disease, and treated initially with an angiotensin-converting enzyme inhibitor (ACEI) and a loop diuretic. Later, he will be started on a β-blocker and an aldosterone receptor antagonist. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164345103 ER -