Question

A 70-year-old with HFrEF (EF 25%) and lower-extremity edema on guideline-directed therapy presents with 8‑lb weight gain and bibasilar crackles. What is the most appropriate immediate adjustment?

Accepted Answer

Increase loop diuretic dose to relieve congestion

Answer

Start a thiazide as monotherapy

Answer

Stop beta blocker to allow diuresis

Answer

Add non-dihydropyridine CCB for BP control

Answer

Add digoxin first

Practice question

A 70-year-old with HFrEF (EF 25%) and lower-extremity edema on guideline-directed therapy presents with 8‑lb weight gain and bibasilar crackles. What is the most appropriate immediate adjustment?