About 4 months ago, a 68-year-old white man was hospitalized for an anterior wall myocardial infarction complicated by left ventricular systolic dysfunction. At discharge, he was prescribed the following medications: aspirin 81 mg daily, atorvastatin 80 mg daily, carvedilol 12.5 mg twice daily, sacubitril/valsartan 49/51 mg twice daily, spironolactone 25 mg daily, and ticagrelor 90 mg twice daily. During a post-discharge follow-up visit today, the patient’s LVEF as measured via ECHO has improved from 25% to 32% since the last hospital assessment. His laboratory results are within normal limits. He is euvolemic, normotensive, and reports only slight limitations of physical activity. Which one of the following is best to recommend for this patient? A. Increase carvedilol to 25 mg twice daily. B. Increase spironolactone to 50 mg daily. C. Start empagliflozin 10 mg daily. D. Increase sacubitril/valsartan to 97/103 mg twice daily.
[Solved]: About 4 months ago, a 68-year-old white man was…
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