A 60-year-old with HFrEF (LVEF 25%) and NYHA II is on sacubitril/valsartan and metoprolol succinate. Creatinine 1.0 mg/dL, K⁺ 4.4 mEq/L, eGFR 70 mL/mi...

Question

A 60-year-old with HFrEF (LVEF 25%) and NYHA II is on sacubitril/valsartan and metoprolol succinate. Creatinine 1.0 mg/dL, K⁺ 4.4 mEq/L, eGFR 70 mL/min/1.73 m². Not on MRA or SGLT2 inhibitor. What therapy should be added next to reduce mortality and hospitalisations?

Accepted Answer

Add spironolactone

Answer

Add ivabradine

Answer

Add hydralazine-isosorbide dinitrate

Answer

Add loop diuretic daily

Answer

Increase sacubitril/valsartan dose only

us-abim MCQ (SBA): Heart Failure with Reduced Ejection Fraction

A 60-year-old with HFrEF (LVEF 25%) and NYHA II is on sacubitril/valsartan and metoprolol succinate. Creatinine 1.0 mg/dL, K⁺ 4.4 mEq/L, eGFR 70 mL/min/1.73 m². Not on MRA or SGLT2 inhibitor. What therapy should be added next to reduce mortality and hospitalisations?