You Are Seeing an Elderly Patient with Congestive Heart Failure

You are seeing an elderly patient with congestive heart failure. Both nesiritide and bosentan have been recommended for this patient. Which of the following statements are true, if any?

A) Nesiritide should not be used in patients with a systolic pressure under 90mm Hg. Bosentan may be used in these patients.
B) Bosentan is an ACE inhibitor and should be used cautiously in elderlypatients with pulmonary hypertension.
C) Both A and B are correct.
D) A is correct, but B is incorrect. The systolic pressure may safely be less than 90mm Hg as long as the patient is continuously monitored.

Correct Answer:

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