Questions for Discussion:

  1. What are the likely pathophysiologic mechanisms at work in this patient's heart failure? Answer
  2. What ACC/AHA stage heart failure does this patient represent? What NHYA class?   Answer
  3. What is the significance of the patient's blood pressure and how will it affect your management?  Answer
  4. What tests, if any, are indicated? Answer
  5. What changes, if any, would you make in the patient's diabetic drug therapy?  Answer
  6. How do you treat her?  Answer