Question

A 58-year-old with NYHA class II HFrEF (LVEF 30%) is on carvedilol and lisinopril. Potassium is 4.5 mEq/L and eGFR 68 mL/min/1.73 m². To improve survival, what should be added next according to current guideline-directed medical therapy?

Accepted Answer

Add dapagliflozin 10 mg daily

Answer

Add torsemide 20 mg daily

Answer

Continue ACE inhibitor and add hydralazine/isosorbide dinitrate

Answer

Add ivabradine immediately

Answer

Start amlodipine 5 mg daily

Practice question

A 58-year-old with NYHA class II HFrEF (LVEF 30%) is on carvedilol and lisinopril. Potassium is 4.5 mEq/L and eGFR 68 mL/min/1.73 m². To improve survival, what should be added next according to current guideline-directed medical therapy?