UNFOLDING Reasoning Case Study: Heart Failure, JoAnn Smith, 72 years old
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Latest content UNFOLDING Reasoning Case Study: Heart Failure, JoAnn Smith, 72 years old
JoAnn Smith is a 72-year-old woman who has a history of myocardial infarction (MI) four years ago and systolic heart 
failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. She presents to the 
emergency department (ED) for shortness of breath (SOB) the past three days. Her shortness of breath has progressed 
from SOB with activity to becoming SOB at rest. The last two nights she had to sleep in her recliner chair to rest 
comfortably upright. She is able...
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UNFOLDING Reasoning Case Study: Heart Failure, JoAnn Smith, 72 years old•UNFOLDING Reasoning Case Study: Heart Failure, JoAnn Smith, 72 years old