A member asked:

What is the best ace inhibitor to use in a 13 year old boy with rheumatic heart disease (rhd) that is best treated once daily? is digoxin beneficial in treating rhd? is torasimide used in rhd? is spirinolactone with loop -d beneficial in rhd?

A doctor has provided 1 answer

More info is needed about the RHD in order to advise you about meds. Is he in sinus rhythm? What is his blood pressure,resting heart rate,ejection fraction? Does he show fluid overload? Modern cardiologists are reluctant to use digoxin. Lisinopril is probably the number one ACE inhibitor world wide. Torsemide,a loop diuretic, is often used if lasix isn't effective. Spironolactone may be combined w

Answered 10/18/2022

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