Case Presentation: A 70-year-old man with a remote history of ischemic cardiomyopathy presented to the hospital with worsening shortness of breath. His review of systems was remarkable for orthopnea. His past medical history was significant for hypertension and hyperlipidemia. His home medications were carvedilol, aspirin, lisinopril and simvastatin. Diagnostic studies including cardiac enzymes and chest [...]