Question

A 68-year-old patient with reduced ejection fraction heart failure is started on an ACE inhibitor and a beta-blocker. Which additional medication according to NICE guidelines is recommended if the patient remains symptomatic with an EF < 35%?

Accepted Answer

Aldosterone antagonist e.g. spironolactone

Answer

Loop diuretic e.g. furosemide

Answer

Digoxin

Answer

Angiotensin receptor blocker e.g. losartan

Answer

Hydralazine with nitrate

Practice question

A 68-year-old patient with reduced ejection fraction heart failure is started on an ACE inhibitor and a beta-blocker. Which additional medication according to NICE guidelines is recommended if the patient remains symptomatic with an EF < 35%?