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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 59-year-old African-American man presents with dyspnea on exertion and bilateral lower leg edema. The patient had a myocardial infarction 2 years ago, in which he developed chronic heart failure. Also, he has type 2 diabetes mellitus. His medications include bisoprolol 20 mg, lisinopril 40 mg, and metformin 2000 mg daily. The vital signs at presentation include: blood pressure is 135/70 mm Hg, heart rate is 81/min, respiratory rate is 13/min, and temperature is 36.6℃ (97.9℉). The physical examination is significant for bilateral lower leg pitting edema. The cardiac auscultation demonstrated an S3 and a systolic murmur best heard at the apex. Which of the following adjustments should be made to the patient’s treatment plan?
assistant
Add hydralazine/isosorbide dinitrate