Defining the Clinical Question

Please note: this EBM tutorial is no longer being maintained or updated. For current EBM information from the Lamar Soutter Library, please visit the Evidence-Based Medicine website.

A 64-year-old white female with a long history of poorly treated hypertension was diagnosed by your preceptor with congestive heart failure (CHF) at her last visit when she presented with shortness of breath and lower extremity edema. She was treated with a diuretic and started on an ACE inhibitor and now is clinically well compensated and without edema. Her EKG shows LVH and strain. Her echocardiogram shows an ejection fraction of 35% and left ventricular hypertrophy. The patient is otherwise in good health without any other known chronic conditions. She is a lifelong non-smoker with a cholesterol/HDL ratio of 2.3 (low risk for heart disease). Her only other medication is Prempro (a combination estrogen/progesterone product).

The patient has heard that CHF is a serious disease, and asks what the future is likely to hold for her. Specifically she asks how likely she is to die from this condition in the near future.

Read the case above and formulate an appropriate specific clinical question. Help on Developing a Well-Built Clinical Question

Type your question here:

Last Updated: October 6, 2010
Send us comments.

© 1999-2017 Lamar Soutter Library UMass Medical School
Worcester, MA, USA 01655
Phone: 508-856-6099