Skip to main content

MCQ 15: Congestive heart failure (18)

Q. Which of the following drug may be stopped in asymptomatic patients with low left ventricular ejection fraction?
A. Beta blocker
B. ACE inhibitor
C. Diuretic
D. All of them should be stopped unless patient is symptomatic
Answer: C. Diuretic

Explanation:
Beta blockers and ACE inhibitors are used in CHF because they have suvival benefit. Both of these are class I recommendation in patients with heart failure with reduced ejection fraction (HFrEF). Whereas, Diuretics are used only for symptomatic benefit. So, if the patient is asymptomatic but having low ejection fraction, beta blockers and ACE inhibitors should be continued and diuretics are given according to symtoms of the patient. 
Labels:

Comments

Post a Comment

Popular posts from this blog

ECG Spotter

What is the diagnosis? Click the button below to view answer: Show Answer
Post a Comment
Read more

MCQ

 Cardiology MCQ Q. Which of the following leads is not an inferior lead in ECG? A. Lead II B. Lead III C. Lead aVF D. Lead aVR Click the button below to view answer Show answer Correct answer is option D. Lead aVR
Post a Comment
Read more

Coronary artery perforation

  Management of coronary artery perforation 1.       Balloon inflation for occlusion of vessel 2.       General circulatory support → Intravenous fluids and vasopressors 3.       Urgent pericardiocentesis if cardiac tamponade (may consider autotransfusion) 4.       Call anaesthetist and inform surgeons. Repeat angiogram ↓ Extravasation settled → Yes → Monitor patient ↓ No #        Large vessel perforation 1.       Prolonged balloon inflation 2.       Covered stent placement #        Small distal vessel perforation 1.       Embolization (fat, coils, thrombin, balloon fragment) 2.       Covered stent in main vessel over perforated branch origin
Post a Comment
Read more