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Case 2
A.O. is an 89-year-old woman with a long history of systolic heart failure secondary to a large left 
ventricular infarct when she was in her 70s. She had poor activity tolerance and required assistance with 
activities of daily living. Even minimal activity was associated with moderately severe dyspnea and 
exertional chest pain, which was relieved by rest. A.O. also exhibited marked pedal edema bilaterally. 
She is being treated with digitalis, furosemide (Lasix), KCl, and sublingual nitroglycerin.
Discussion Questions 

2. What compensatory mechanisms are likely to be operative in A.O. to enhance cardiac output?

SCIENCE
HEALTH SCIENCE
NURSING
PATHO 370

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