A 54M with a history of CHF admitted with chest pain and troponin elevation likely due to a hypertensive emergency was found to have a 100% RCA lesion but well collateralized and no other CAD at cardiac catheterization. Keys to management were aggressive BP control with medications, low salt diet, and weight loss; cont ASA, statin, and Lasix 160 in AM, 120 in PM for volume control. Troponin trended down and the patient remained asymptomatic in house. The patient was monitored on tele with no events. The patient was also given Mucomyst, DM on diet control, and Hba1c pending. The patient was also found to have a history of OSA on CPAP which was likely contributing to pulmonary hypertension given the HCT 55. CPAP and weight loss were encouraged. The patient was discharged on Acetylsalicylic Acid 81 MG PO QD, Lasix (Furosemide) 160 MG QAM; 120 MG QPM PO 160 MG QAM, Lisinopril 80 MG PO QD, MVI Therapeutic (Therapeutic Multivitamins) 1 TAB PO QD, Norvasc (Amlodipine) 10 MG PO QD, Toprol XL (Metoprolol (Sust. Rel.)) 200 MG PO QD, Ambien (Zolpidem Tartrate) 5 MG PO QHS, and Depakote ER (Divalproex Sodium ER) 1,000 MG PO QD with instructions to take consistently with meals or on empty stomach, avoid grapefruit unless MD instructs otherwise, and give Ambien on an empty stomach (give 1hr before or 2hr after food). Additional comments were given to continue medications as prescribed, monitor BP, cut out salt, and lose weight. The patient was discharged in a stable condition with follow-up appointments with primary cardiologist and primary care doctor.
What is the current dose of the patient's toprol xl ( metoprolol ( sust. rel. ) )
Toprol XL (Metoprolol (Sust. Rel.)) 200 MG PO QD,