Question

A 58-year-old with HFrEF (LVEF 30%) on lisinopril, carvedilol, and spironolactone remains NYHA II. K 4.3 mEq/L, eGFR 70. What mortality-reducing addition is recommended irrespective of diabetes?

Accepted Answer

Start an SGLT2 inhibitor (e.g., dapagliflozin)

Answer

Add isosorbide dinitrate only

Answer

Increase spironolactone to supramaximal dose

Answer

Switch to short-acting metoprolol tartrate

Answer

Start loop diuretic routinely

Practice question

A 58-year-old with HFrEF (LVEF 30%) on lisinopril, carvedilol, and spironolactone remains NYHA II. K 4.3 mEq/L, eGFR 70. What mortality-reducing addition is recommended irrespective of diabetes?