5 mg oral single dose if the heart rate would not reach to 60/minute then give another dose, 5 mg

Heart Failure severity has been classified according to New York Heart Association (NYHA) to:

• Class I: No limitation of physical activity. Ordinary physical activity does not cause symptoms of HF.
• Class II: Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in symptoms of HF.
• Class III: Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes symptoms of HF.
• Class IV: Unable to perform any physical activity without symptoms of HF, or symptoms of HF at rest.

The amount of blood pressure measured by sphygmomanometer

The rate of disturbed sleep measured as better than before, Worse than before, and No change

There are no standard classification for severity of this symptom. In our study, we measure this symptom as :

• Better than before (1)
• Worse than before (2)
• No change (0)

The rate of changing in appetite level measured as better than before, Worse than before, and No change

Loss of appetite is a common symptom of heart failure. There are no standard classification for severity of this symptom. In our study, we measure this symptom as :

• Better than before (1)
• Worse than before (2)
• No change (0)

Persistence of Bradycardia more than 6 hours is called prolonged bradycardia.

Systolic less than 80 mm Hg