A 59-year-old with chronic HFrEF (LVEF 30%), NYHA II, is on sacubitril/valsartan, carvedilol, and spironolactone. eGFR 45 mL/min/1.73 m², potassium 4....

Question

A 59-year-old with chronic HFrEF (LVEF 30%), NYHA II, is on sacubitril/valsartan, carvedilol, and spironolactone. eGFR 45 mL/min/1.73 m², potassium 4.5 mEq/L. Which medication addition provides further mortality and HF hospitalization benefit?

Accepted Answer

Add dapagliflozin 10 mg daily

Answer

Add ivabradine

Answer

Add isosorbide dinitrate alone

Answer

Switch spironolactone to eplerenone

Answer

Add hydralazine monotherapy

us-abfm MCQ (SBA): Heart Failure (HFrEF)

A 59-year-old with chronic HFrEF (LVEF 30%), NYHA II, is on sacubitril/valsartan, carvedilol, and spironolactone. eGFR 45 mL/min/1.73 m², potassium 4.5 mEq/L. Which medication addition provides further mortality and HF hospitalization benefit?