Question

A 78-year-old man with heart failure with reduced ejection fraction (HFrEF) is already on an ACE inhibitor and a beta-blocker. According to NICE guidelines, what is the next medication to add to further reduce mortality if he remains symptomatic?

Accepted Answer

Aldosterone antagonist (e.g., spironolactone)

Answer

Digoxin

Answer

Amlodipine

Answer

Hydralazine and nitrates

Answer

Ivabradine

Practice question

A 78-year-old man with heart failure with reduced ejection fraction (HFrEF) is already on an ACE inhibitor and a beta-blocker. According to NICE guidelines, what is the next medication to add to further reduce mortality if he remains symptomatic?