## One pill daily to develop Acute Heart Failure

51-y.o. man, without internal pre-disease, regularly workout in a gym admitted for dyspnoea and intolerance of physical activity. Chest X-ray showed pulmonary congestion. ECG with signs overload left ventricle (left ventricular hypertrophy) and PACs. Lab. tests show CKD KDIGO G3b (serum creatinine around 170umol/l, eGF 40ml/min)

Pt. is chronic NSAID abuser (Piroxicam - one pill daily).

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