Practice question

Answer the question and get instant feedback.

HardCardiologyHFrEF-Ivabradineus-abimus-usmle-step-3

A 65-year-old woman with HFrEF (EF 30%) and CKD G3a presents for medication optimization. She is on ARNI, beta‑blocker, MRA, and SGLT2 inhibitor. BP 108/64. Which medication is appropriate to add for sinus rhythm HR 78 bpm?

Educational content. Not a substitute for clinical judgement or local policy.