A 52-year-old male presents with scrotal edema persisting for the past 10 days, accompanied by mild breathlessness and bilateral pedal edema. He has a history of ischemic heart disease (IHD), diabetes mellitus (DM), and a left ventricular ejection fraction (LVEF) of 20%. Kindly suggest suitable treatment options.

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Dr. Sanjib

MOST PROBABLY IT'S A CASE OF HEART FAILURE DUE TO IHD SO BOTH THE TREATMENT OF IHD AND HEART FAILURE SHOULD BE STARTED IMMEDIATELY