Question

A 63-year-old with HFrEF (EF 25%) on ARNI, evidence-based beta-blocker, and MRA remains NYHA II. He has type 2 diabetes. BP is 112/68 mmHg, eGFR 65. What therapy should be added to reduce HF hospitalization and death?

Accepted Answer

Add an SGLT2 inhibitor (e.g., dapagliflozin 10 mg daily)

Answer

Hydralazine-isosorbide dinitrate

Answer

Ivabradine

Answer

Verapamil

Answer

Routine digoxin for all HFrEF

Practice question

A 63-year-old with HFrEF (EF 25%) on ARNI, evidence-based beta-blocker, and MRA remains NYHA II. He has type 2 diabetes. BP is 112/68 mmHg, eGFR 65. What therapy should be added to reduce HF hospitalization and death?