10-minute consultation: Management of diastolic heart failure in older adults

摘要

A 69 year old woman has come to you for follow up after having attended a hospital's emergency department She has had progressive dyspnoea and undue tiredness for more than six months. Recently, her dyspnoea has got worse. At the emergency department her blood pressure and heart rate were high, and a chest radiograph showed mild pulmonary oedema, A diagnosis of heart failure was made. Her symptoms improved after treatment with intravenous furosemide and metoprolol. An echocardiography later showed her to have a left ventricular ejection fraction > 55%.