A 59-year-old with HFrEF (EF 30%) on lisinopril and metoprolol succinate remains symptomatic (NYHA II). BP 118/70 mmHg, K⁺ 4.6 mEq/L, eGFR 55 mL/min/1...

Question

A 59-year-old with HFrEF (EF 30%) on lisinopril and metoprolol succinate remains symptomatic (NYHA II). BP 118/70 mmHg, K⁺ 4.6 mEq/L, eGFR 55 mL/min/1.73 m², A1C 6.8%. Which additional medication should be added to reduce mortality and HF hospitalisation?

Accepted Answer

Dapagliflozin

Answer

Digoxin

Answer

Loop diuretic as chronic mortality therapy

Answer

Ivabradine as first add-on

Answer

Hydralazine alone

us-abim MCQ (SBA): Heart failure with reduced ejection fraction

A 59-year-old with HFrEF (EF 30%) on lisinopril and metoprolol succinate remains symptomatic (NYHA II). BP 118/70 mmHg, K⁺ 4.6 mEq/L, eGFR 55 mL/min/1.73 m², A1C 6.8%. Which additional medication should be added to reduce mortality and HF hospitalisation?