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A 62-Year-Old Man with Hypertension and Heart Failure Comes to the Office

question 1037

Multiple Choice

A 62-year-old man with hypertension and heart failure comes to the office for follow-up 2 weeks after hospital discharge for acute decompensated heart failure. The patient becomes short of breath after walking 1 block or climbing a flight of stairs but does not have orthopnea, cough, or hemoptysis. Current medications include metoprolol succinate, sacubitril-valsartan, furosemide, and spironolactone. Blood pressure is 128/76 mm Hg and pulse is 80/min. Oxygen saturation is 95% on room air. Jugular venous pressure is estimated at 8 cm H₂O. Lungs are clear to auscultation, and an S3 is heard at the apex. There is trace peripheral edema. Echocardiography shows left ventricular ejection fraction of 30%, mild mitral regurgitation, and mild pulmonary hypertension. The patient's serum creatinine is 1.2 mg/dL, and serum potassium is 5.0 mEq/L. Which of the following is the best additional therapy for this patient?

Understand how stock splits affect shareholder position and stock price.

Grasp the stability and determinants of dividends.

Recognize the global and theoretical perspectives on dividends and capital structure.

Understand the implications of different dividend theories, including dividend irrelevance and bird-in-the-hand theories.

Definitions:

Battery Life

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Service Time

The duration it takes to complete a specific task or service, often measured to evaluate efficiency or productivity in various sectors.

Degrees of Freedom

The number of independent pieces of information available to estimate another piece of information or parameter within a dataset.

ANOVA Table

A table used in analysis of variance that displays the sources of variability in the data, including the sum of squares, degrees of freedom, mean squares, and the F-statistic.