The beginning of the treatment would aim for the survival of the patient by resolving his breathing issue and pulmonary edema caused by cardiomyopathy. Diuretics would be used in low doses to manage the edema, and the treatment would include loop or potassium sparing diuretics because thiazide diuretics are often ineffective in elderly patients with heart failure (Davies, Gibbs, & Lip, 2000). Once the edema are alleviated, the treatment would switch to ACE inhibitors because previous studies showed they decreased mortality and morbidity rates in all stages of heart failure (Davies et al., 2000). As a general rule, the initial ...
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