A Patient Is Admitted with Dyspnea and Fluid Overload

A patient is admitted with dyspnea and fluid overload.Chest X-ray reveals bilateral pleural effusion,right greater than left,and pulmonary congestion with possible congestive heart failure.BNP is elevated,confirming congestive heart failure.Echo shows a mild pulmonary hypertension and aortic valve stenosis.The patient is receiving medication for atrial fibrillation and has a history of alcoholic cardiomyopathy and alcohol dependence.Discharge Diagnoses: Congestive heart failure.Pulmonary hypertension.Aortic valve stenosis.Atrial fibrillation.