Clinical practice. Systolic heart failure.

  title={Clinical practice. Systolic heart failure.},
  author={J J V Mcmurray},
  journal={The New England journal of medicine},
  volume={362 3},
Copyright © 2010 Massachusetts Medical Society. 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 his lower limbs. The lung examination is normal. An… CONTINUE READING
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