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Frusemide or nitrates in acute left ventricular failure
  1. Annette Johnson,
  2. Kevin Mackway-Jones
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK

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    Report by Annette Johnson, Specialist Registrar Search checked by Kevin Mackway-Jones, Consultant

    Clinical scenario

    An 80 year old man is brought into the emergency department in the early hours of the morning with acute shortness of breath. He is pale, clammy and very distressed. You diagnose acute left ventricular …

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