Question

A 63-year-old man with HFrEF (LVEF 25%) is on lisinopril 20 mg daily and carvedilol 25 mg twice daily. BP 118/72 mm Hg, eGFR 35 mL/min/1.73 m², K⁺ 5.4 mEq/L. He has no history of ketoacidosis. Which medication should be added now to reduce HF hospitalisation and mortality?

Accepted Answer

Start dapagliflozin 10 mg daily

Answer

Increase ACE inhibitor dose

Answer

Add spironolactone 25 mg daily

Answer

Switch carvedilol to metoprolol tartrate

Answer

Add ivabradine 5 mg twice daily

Practice question

A 63-year-old man with HFrEF (LVEF 25%) is on lisinopril 20 mg daily and carvedilol 25 mg twice daily. BP 118/72 mm Hg, eGFR 35 mL/min/1.73 m², K⁺ 5.4 mEq/L. He has no history of ketoacidosis. Which medication should be added now to reduce HF hospitalisation and mortality?