this is really unfortunate. how did she get CHF? tambok ni sya? african americans have the highest risk of cardiovascular problem and hardest to treat depending on their inherited genes. ambot lng sad pero so far mao ako nabantayan. have to update myself more with US statistics.
not morbidly obese, her weight was normal for her age and height. long term untreated hypertension. non-compliant history of not taking her medication led to chf, with chf, ning manifest ijang CRF.
Edematous kaajo.
~~~
Very sensitive kaayo ning african american population, because they react differently to chf / hypertension medication.
normally i would prescribe my patients (hypertensive patients) : Ace inhibs (Lisinipril, Captopril), ARBS (losartan).
however, for African americans, they do not do well with Aceinhibs. They do really well with : CCBs, and Diuretics (Hydrocholorthiazide).
Note: importante jud i monitor ilang uric acid levels when they're on HCT; kai mag hyperuricemic cases; gouty attack.
Linkback:
https://tubagbohol.mikeligalig.com/index.php?topic=38732.0