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ModerateCardiologyHFrEF (Ivabradine)us-abimus-usmle-step-3

A 58-year-old with HFrEF (EF 25%) and sinus rhythm HR 78/min on maximally tolerated beta-blocker, ARNI, MRA, SGLT2 has NYHA II symptoms. Which additional therapy is reasonable to reduce hospitalization?

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