Question

A 57-year-old with HFrEF and EF 28% on GDMT has potassium 5.3 mEq/L. Considering finerenone. What is recommended?

Accepted Answer

Avoid/withhold finerenone initiation if K+ >5.0 mEq/L and optimize RAAS blockade/diuretics first

Answer

Start finerenone regardless of K+

Answer

Start finerenone and add K+ supplements

Answer

Stop SGLT2 inhibitor

Answer

Switch ACE inhibitor to ARB

Practice question

A 57-year-old with HFrEF and EF 28% on GDMT has potassium 5.3 mEq/L. Considering finerenone. What is recommended?