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Moderateswitch to ARB or consider ARNI if feasible. CCBs/nitrates/ivabradine do not replace RAAS blockade benefits. Hydralazine alone is not equivalent."Heart Failure"easy"

A 57-year-old woman with CKD stage 3 asks about ACEi cough. If ARNI not suitable, which alternative maintains RAAS blockade per HF guideline?

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