A 64-year-old with HFrEF and persistent congestion despite loop diuretic asks about sequencing. Which is emphasized first?...

Question

A 64-year-old with HFrEF and persistent congestion despite loop diuretic asks about sequencing. Which is emphasized first?

Accepted Answer

Optimize GDMT (ARNI/BB/MRA/SGLT2i) and use diuretic strategies to achieve euvolemia

Answer

Stop GDMT to diurese

Answer

Use NSAIDs for diuresis

Answer

Start diltiazem

Answer

Avoid SGLT2i until euvolemic

"us-abim MCQ (SBA): Volume Management in HFrEF