<prompt> Drug of choice for acute left ventricular failure: September 2006Rapid digitalizationIV AminophyllineIV MorphineIV Furosemide  <response>: Ans. D: IV Furosemide Diuretics remain the mainstay of therapy and current standard of care for acute hea failure. Intravenous administration of a loop diuretic furosemide, bumetanide, torsemide is preferred initially due to potential poor absorption of the oral forms in the presence of bowel edema. Treatment of Symptomatic Left Ventricular Systolic Dysfunction First Line Class I recommendation Diuretics and fluid restriction in patients who have evidence of fluid retention. ACE inhibitor - all patients, unless contraindicated eg. renal aery stenosis, unstable renal function, hypotension Beta-adrenergic blockade in all stable patients, unless contraindicated eg. no or minimal evidence of fluid retention, no recent inotropic agent, no bronchospasm Digitalis for the treatment of symptoms of Hea Failure, unless contraindicated eg. renal insufficiency Withdrawal of drugs known to adversely affect the clinical status of patients e.g., nonsteroidal anti-inflammatory drugs, most antiarrhythmic drugs, and most calcium channel blocking drugs 