Question

A 70-year-old woman presents with heart failure with reduced ejection fraction. She has no previous diuretic therapy. According to NICE guidelines, which medication should be initiated first for systolic heart failure?

Accepted Answer

ACE inhibitor (or ARB) and beta-blocker

Answer

Loop diuretic

Answer

Mineralocorticoid receptor antagonist

Answer

Angiotensin receptor-neprilysin inhibitor

Answer

Digoxin

Practice question

A 70-year-old woman presents with heart failure with reduced ejection fraction. She has no previous diuretic therapy. According to NICE guidelines, which medication should be initiated first for systolic heart failure?