A 59-year-old with newly diagnosed HFrEF (LVEF 30%) NYHA II and blood pressure 122/74 mm Hg presents to initiate therapy. Creatinine 1.0 mg/dL, potassium 4.4 mEq/L. Which regimen best reflects guideline-directed medical therapy (GDMT) initiation?AStart loop diuretic monotherapy and reassess in 3 monthsBStart ARNI, beta-blocker, MRA, and SGLT2 inhibitor as toleratedCStart ACE inhibitor and stop once EF improves above 40%DStart diltiazem for rate control and spironolactone onlyEStart hydralazine/isosorbide mononitrate for all patients regardless of race or intoleranceCheck my answer