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Heart_Failure-SKINNY_Reasoning CASE STUDY
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...
Case
Heart_Failure-SKINNY_Reasoning CASE STUDY
PopularJoAnn 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...