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The following article was written by Alan C. Braverman, MD and Sudhir Sundaresan, MD, and published on www.annals.org. ...The patient was begun on captopril and digoxin; dobutamine was subsequently discontinued. An echocardiogram done 5 days after admission showed severe left ventricular dysfunction (ejection fraction, 25%) and a tiny pericardial effusion; 4 days later, there was improvement in left ventricular function with an ejection fraction of 45%. The patient was discharged to her home. A follow-up echocardiogram on 12 August showed normal left ventricular function. The patient has regained her baseline functional status and has discontinued therapy with all medications. Click here for the full article. |