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OCR: Another ase 60 vear male presents to the ED with week history yspnea and leo edema much W orse over past hours HTN and medication non -compliance PE VS 220/120 120 J pulse ) 020 Chest: diffuse rales to mid chest Card tachy cardia. gallop Ext: pre-tibial edema Newer Options: High Dose Nitro. IV ACE. Natrecor Fenoldopam Case year dyspnea tachvcardia