Question

A 50-year-old with chronic HFrEF and type 2 diabetes has persistent symptoms on ARNI, beta-blocker, MRA, and SGLT2 inhibitor. Heart rate 78 bpm, sinus rhythm. Next step to reduce hospitalisations?

Accepted Answer

Consider hydralazine-isosorbide dinitrate if on optimal therapy and persistent symptoms

Answer

Start verapamil

Answer

Add pioglitazone for glycaemia

Answer

Stop ARNI to add ACEI

Answer

Add NSAID for musculoskeletal pain

Practice question

A 50-year-old with chronic HFrEF and type 2 diabetes has persistent symptoms on ARNI, beta-blocker, MRA, and SGLT2 inhibitor. Heart rate 78 bpm, sinus rhythm. Next step to reduce hospitalisations?