Sandbox/22

Management

Characterize the symptoms: ❑ Cardiac ❑ Exertional dyspnea ❑ Dyspnea at rest ❑ Orthopnea ❑ Paroxysmal nocturnal dyspnea ❑ Chest pain ❑ Palpitation ❑ Cough ❑ Peripheral edema ❑ Extracardiac ❑ Anorexia ❑ Weight loss ❑ Nausea ❑ Fatigue ❑ Oliguria ❑ Bloating Obtain a detailed history: ❑ Medications: ❑ Alcohol ❑ Beta blockers ❑ Calcium channel blockers ❑ Chemotherapy drugs - anthracyclines]] ❑ NSAIDs ❑ Thiazolidinedione ❑ Past medical history ❑ Previous myocardial infarction ❑ Valvular heart disease ❑ Cardiomyopathy ❑ Hypertension ❑ Diabetes mellitus ❑ Obesity ❑ Sleep disorders ❑ Thyroid disorders ❑ Arrhythmias ❑ Family history ❑ History of dilated cardiomyopathy ❑ Radiation to the chest