This 65 years old patient had pain chest mild and tiredness on day to day working went to a Heart Hospital, all cardiology related investigations done, found normal. Hospital prescribed ppi, ceforuxime, and pain killers +serritiopeptidase for two weeks with out any relief. Investigations are posted.
Came to me, given treatment for CHF, lasix/2tab, furosemide/2tab, Enalapril 2.5mg1/2tab, Calcium, Vitamin D, Risedronate Sodium weekly for one month, she is much better now. The query is High Sodium, Chloride level is indicative of CHF in old people?