The patient is a woman, and her medical history shows that she is suffering from pulmonary hypertension. The doctor has prescribed Viagra drug that will help stabilise the patient’s condition and prevent heart failure. Pulmonary hypertension is a condition that occurs when there is a high blood pressure in the arteries. The increased pressure narrows the size of the arteries, making it strenuous to pump blood from the heart to the lungs. Patients experience difficulty in breathing, making it hard to pump adequate blood to the lungs, and may lead to death.
Tests conducted on the patient reveal an elevated Brain Natriuretic Peptide (BNP) while the patient’s ejection fraction was less than 40%. The BNP levels rise when heart failure symptoms worsen, and the patient’s condition requires urgent intervention. The patient’s condition requires immediate attention to prevent heart failure, which will be difficult to resuscitate.
The following are the suggested solutions to the problem:
- Change in medication.
Elevated BNP levels show that the heart is working under strenuous condition and the patient may experience heart failure. Change the patient’s medication immediately after conducting additional tests.
- Echocardiography Test
The patient’s ejection fraction of less than 40% shows that the patient has a Left Ventricular Dysfunction. Ajello, et al. (2013) recommends conducting echocardiogram assessment to identify theexisting properties of the left ventricle.
Placing the patient on therapy will decelerate, reverse or halt the left ventricular remodelling. Evidence-basedtherapies such as beta blockers and ACE inhibitors will improve prognosis and increase survival rates. Neuro-hormonal blockers have recorded improvements in patients with left ventricular dysfunction through reverse remodelling and decelerating adverse clinical outcomes (Ajello, et al., 2013).
Ajello, L., Coppola, G., Corrado, E., Franca, E. L., Rotolo, A., & Assennato, P. (2013). Diagnosis and Treatment of Asymptomatic Left Ventricular Systolic Dysfunction after Myocardial Infarction. ISRN Cardiology, 1-7.
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