Question

A 68-year-old man with a history of hypertension and type 2 diabetes presents with dyspnoea, fatigue, and bilateral ankle swelling. Examination reveals a displaced apex beat and bibasal crackles. According to NICE guidelines, which medication is first-line for symptomatic chronic heart failure with reduced ejection fraction?

Accepted Answer

ACE inhibitor (e.g. enalapril)

Answer

Loop diuretic (e.g. furosemide)

Answer

Beta-blocker (e.g. carvedilol)

Answer

Aldosterone antagonist (e.g. spironolactone)

Answer

Angiotensin receptor-neprilysin inhibitor (e.g. sacubitril/valsartan)

Practice question