Heart failure patient taking Aspirin, spironolactone, digoxin, ACEI, statin, beta blocker. Patient wants to take less medication. Which of the following medications can we stop with no effect on the mortality?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: A. Digoxin
In the lecture's HF drug table, ACE inhibitors, beta-blockers and aldosterone antagonists are marked as improving mortality, while digoxin does not improve mortality. It is the first drug to stop when de-escalating (ACEi is the last). Stopping a beta-blocker, spironolactone or an ACEi would remove a mortality benefit.
ليش كل خيار صح أو غلط
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A
ليش صح
Digoxin does not improve mortality, and when stopping medications you start with it and go back in order.
✓ (Y4)-(M B) HF.pdf · p. 6 -
B
ليش غلط
Beta-blockers are the second step and improve mortality; stopping them removes that benefit.
✓ (Y4)-(M B) HF.pdf · p. 5 -
C
ليش غلط
Spironolactone (aldosterone antagonist) is the third step and improves mortality.
✓ (Y4)-(M B) HF.pdf · p. 5 -
D
ليش غلط
ACE inhibitors are the first step and improve mortality; the ACEi is the last drug to stop.
✓ (Y4)-(M B) HF.pdf · p. 5 -
E
ليش غلط
Statins lower LDL and reduce the risk of CV death, so stopping one is not mortality-neutral.
✓ Step-Up To Medicine 6th (IHD & ACS).pdf · p. 7
- المصدر
- (Y4)-(M B) HF.pdf · p. 6
(Y4)-(M B) HF.pdf · p. 5 - المحاضرة
- Heart Failure · Cardiology · Module B
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- Cardio bank