Question

A 60-year-old with HFrEF and diabetes is admitted for decompensation. On loop diuretic only. Which combination forms the four foundational therapies to start as tolerated?

Accepted Answer

ARNI (or ACEi/ARB), evidence-based β‑blocker, MRA, SGLT2 inhibitor

Answer

ACEi plus CCB, MRA, DPP‑4 inhibitor

Answer

Hydralazine alone, β‑blocker, insulin, nitrate

Answer

Ivabradine, diuretic, aspirin, fish oil

Answer

Loop diuretic, digoxin, nitrates, warfarin

Practice question

A 60-year-old with HFrEF and diabetes is admitted for decompensation. On loop diuretic only. Which combination forms the four foundational therapies to start as tolerated?