A 68-Year-Old Man Comes to the Office Due to Several

A 68-year-old man comes to the office due to several weeks of progressive exertional dyspnea and lower extremity edema.  Medical history is significant for non-Hodgkin lymphoma, which is in remission after chemotherapy 8 years ago.  Blood pressure is 126/76 mm Hg and pulse is 88/min.  Physical examination reveals bibasilar lung crackles and 1+ bilateral lower extremity edema.  Echocardiography shows biventricular dilation and a left ventricular ejection fraction of 35%.  Stress myocardial perfusion scan is negative for inducible ischemia.  After initial stabilization, long-term use of which of the following medications will most likely improve survival in this patient?

A) Amiodarone
B) Amlodipine
C) Carvedilol
D) Digoxin
E) Diltiazem
F) Flecainide
G) Furosemide

Correct Answer:

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