Relate the presence of uncontrolled hypertension and coronary artery disease to the development of heart failure

  1. 75-year-old male with long-standing hypertension and angina due to coronary heart disease

presents with ankle edema, nocturia, increased shortness of breath with activity, and a chronic

nonproductive cough. He has a past history of smoking two packs per day and is an ex-alcoholic.

His blood pressure is 170/80 and his heart rate is 100. Electrocardiography and chest radiography

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indicate the presence of left ventricular hypertrophy.

Relate the presence of uncontrolled hypertension and coronary artery disease to the development of heart failure in this man.