Question

A 60-year-old with HFrEF (LVEF 30%) is on sacubitril/valsartan, metoprolol succinate, and spironolactone. Resting HR 64 bpm, BP 118/70 mmHg, eGFR 70. Which addition best reduces HF hospitalization and mortality?

Accepted Answer

Start an SGLT2 inhibitor

Answer

Hydralazine plus isosorbide dinitrate

Answer

Add ivabradine

Answer

Increase loop diuretic dose

Answer

Switch spironolactone to eplerenone

Practice question

A 60-year-old with HFrEF (LVEF 30%) is on sacubitril/valsartan, metoprolol succinate, and spironolactone. Resting HR 64 bpm, BP 118/70 mmHg, eGFR 70. Which addition best reduces HF hospitalization and mortality?