Question

A 68-year-old with HFrEF (LVEF 30%) on furosemide only presents for optimisation. BP 118/72 mmHg, K+ 4.6 mmol/L, eGFR 70 mL/min/1.73 m². What is the next best disease-modifying addition?

Accepted Answer

Ramipril and a beta blocker (evidence-based)

Answer

Spironolactone as sole agent

Answer

Diltiazem MR

Answer

Flecainide

Answer

Ivabradine as first-line

Practice question

A 68-year-old with HFrEF (LVEF 30%) on furosemide only presents for optimisation. BP 118/72 mmHg, K+ 4.6 mmol/L, eGFR 70 mL/min/1.73 m². What is the next best disease-modifying addition?