A 59-year-old with symptomatic HFrEF (LVEF 30%) on lisinopril and carvedilol remains dyspnoeic (NYHA II). BP 118/72 mmHg, K⁺ 4.5 mEq/L, eGFR 65. Which...

Question

A 59-year-old with symptomatic HFrEF (LVEF 30%) on lisinopril and carvedilol remains dyspnoeic (NYHA II). BP 118/72 mmHg, K⁺ 4.5 mEq/L, eGFR 65. Which addition best aligns with guideline-directed foundational therapy to reduce mortality and hospitalisation?

Accepted Answer

Add spironolactone 25 mg daily

Answer

Add verapamil

Answer

Add digoxin

Answer

Increase carvedilol to 50 mg twice daily immediately

Answer

Start furosemide 80 mg twice daily long term

us-abfm MCQ (SBA): Heart Failure with Reduced Ejection Fraction

A 59-year-old with symptomatic HFrEF (LVEF 30%) on lisinopril and carvedilol remains dyspnoeic (NYHA II). BP 118/72 mmHg, K⁺ 4.5 mEq/L, eGFR 65. Which addition best aligns with guideline-directed foundational therapy to reduce mortality and hospitalisation?