A 70-year-old with HFrEF on optimal therapy remains symptomatic. BP is 110/70 mmHg, K⁺ 4.6 mmol/L, eGFR 58. He is on ACEi, beta-blocker, MRA, SGLT2 in...

Question

A 70-year-old with HFrEF on optimal therapy remains symptomatic. BP is 110/70 mmHg, K⁺ 4.6 mmol/L, eGFR 58. He is on ACEi, beta-blocker, MRA, SGLT2 inhibitor. Next disease-modifying option?

Accepted Answer

Switch ACEi to sacubitril/valsartan (ARNI)

Answer

Add sacubitril/valsartan to ACEi

Answer

Add digoxin for all

Answer

Stop SGLT2 inhibitor

Answer

Add nitrate monotherapy

mrcp part 1 MCQ (SBA): Heart Failure Optimisation

A 70-year-old with HFrEF on optimal therapy remains symptomatic. BP is 110/70 mmHg, K⁺ 4.6 mmol/L, eGFR 58. He is on ACEi, beta-blocker, MRA, SGLT2 inhibitor. Next disease-modifying option?