12-24-2008, 11:28 AM
34A 65-year-old white female, with chronic congestive heart failure, was admitted for community-acquired pneumonia. She is receiving aspirin, digoxin, furosemide, levofloxacin, and oral simvastatin. She is feeling better and her pneumonia is resolving. While planning for discharge she developed recurrent sustained ventricular tachycardia with stable vital signs during the nighttime. The patient has recieved amiodarone and now is stable in sinus rhythm. A recent echocardiogram showed an ejection fraction (EF) of 35%. What is the most important next step in the management at this stage?
A. Add beta blocker
B. Add spiranolactone
C. Measure serum electrolytes
D. Stop simvastatin
E. Discharge the patient
A. Add beta blocker
B. Add spiranolactone
C. Measure serum electrolytes
D. Stop simvastatin
E. Discharge the patient