Detecting and Evaluating Cognitive Impairment in Heart Failure Patients

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Heart Failure with Cognitive Impairment Case Study

Mr. Reynolds is a recently (12 months ago) widowed 85-year-old white male with heart failure (HF). He now lives with his daughter and her family, and they all get along well. The last time his ejection fraction was measured 3 months ago, it was 35%.

Comorbidities:

Hypertension, coronary artery disease (for which he underwent triple-vessel coronary artery bypass grafting), osteoarthritis, hyperlipidemia, and asthma.

Current Medications:

  • Lisinopril (Zestril) for blood pressure and HF management
  • Carvedilol (Coreg) for blood pressure and HF management
  • Aspirin, Clopidogrel (Plavix), blood thinners
  • Simvastatin (Zocor) for hyperlipidemia management
  • Furosemide (Lasix) for edema management in HF
  • Albuterol inhaler (Proventil) for asthma management
  • Clonazepam (Klonopin) for insomnia and anxiety management
  • Over-the-counter Naproxen for back pain and Diphenhydramine for insomnia