A 62-year-old with new HFrEF (EF 30%), BP 128/78, K 4.6, eGFR 38. Which change best reflects guideline-directed foundational therapy?...

Question

A 62-year-old with new HFrEF (EF 30%), BP 128/78, K 4.6, eGFR 38. Which change best reflects guideline-directed foundational therapy?

Accepted Answer

Switch ACE inhibitor to sacubitril/valsartan

Answer

Start non-dihydropyridine CCB

Answer

Add thiazolidinedione

Answer

Withhold MRA until EF improves

Answer

Stop beta-blocker if asymptomatic bradycardia at 58 bpm

us-abim MCQ (SBA): Heart Failure (HFrEF)