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Ibutilide
8%
21/251
Lidocaine
2%
4/251
Aspirin
20/251
Carvedilol
48%
121/251
Verapamil
25%
62/251
Select Answer to see Preferred Response
The clinical picture is consistent with congestive heart failure (CHF). Medical management for CHF generally includes treatment with a beta blocker such as carvedilol. CHF results when the heart is incapable of delivering sufficient amounts of oxygenated blood to meet the needs the body's tissues and organs. It is characterized by signs and symptoms of volume overload (dyspnea, edema) and impaired tissue perfusion (impaired exercise tolerance, fatigue). Incorrect Answers: Answer 1: Ibutilide is a class III antiarrhythmic. It is used for acute cardioversion in atrial fibrillation and flutter. Answer 2: Lidocaine is a class IB antiarrhythmic used for the treatment of ventricular arrhythmias. Answer 3: The role of aspirin for heart failure has not been established and it is not included in the current recommendations for CHF management. It is recommended in patients post-MI. Answer 5: Verapamil is a calcium channel blocker and class IV antiarrhythmic. It is not used in the management of CHF.
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