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Heart Failure with Preserved EF (HFpEF) — Symptom Control & Comorbidity Care
A 79-year-old woman with HFpEF (EF 58%), obesity, HTN, OSA, and edema complains of dyspnea on exertion and frequent admissions.
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Deprescribe agents worsening HF (e.g., NSAIDs), adjust polypharmacy
Use loop diuretics judiciously for congestion; monitor renal function/electrolytes
Establish action plan and early follow-up within 7–14 days post-discharge
Control BP, treat OSA, weight management, exercise rehab
Start SGLT2 inhibitor to reduce HF hospitalization
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