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MediumCardiologyAcute Decompensated Heart Failureukmlamrcp part 1mrcem sbapane

A 75-year-old man is admitted with an acute exacerbation of heart failure. He is breathless at rest, has bilateral pitting oedema to his knees, and raised JVP. His blood pressure is 140/85 mmHg, heart rate 95/min. His current medications include bisoprolol, ramipril, and spironolactone. What is the most appropriate immediate addition to his management?

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