A 60-year-old with HFrEF on ARNI, beta-blocker, MRA, and SGLT2 inhibitor remains volume overloaded. Which diuretic strategy is appropriate?...

Question

A 60-year-old with HFrEF on ARNI, beta-blocker, MRA, and SGLT2 inhibitor remains volume overloaded. Which diuretic strategy is appropriate?

Accepted Answer

Increase loop diuretic dose and consider adding thiazide-type diuretic for sequential nephron blockade short-term

Answer

Switch to thiazide only

Answer

Stop diuretics to avoid renal injury

Answer

Use acetazolamide outpatient routinely

Answer

IV fluids for diuretic resistance

us-abim MCQ (SBA): Diuretic optimisation in HFrEF