A 58-year-old man with long-standing hypertension and chronic kidney disease presents with progressive dyspnea on exertion and orthopnea. Blood pressu...

Question

A 58-year-old man with long-standing hypertension and chronic kidney disease presents with progressive dyspnea on exertion and orthopnea. Blood pressure is 150/88 mmHg. Cardiac exam shows a displaced apical impulse and S3 gallop. Echocardiogram shows LVEF 35 percent. He is on lisinopril and furosemide. What medication should be added next to improve survival?

Accepted Answer

Metoprolol succinate

Answer

Diltiazem

Answer

Digoxin

Answer

Hydralazine alone

Answer

Ivabradine

us-abfm MCQ (SBA): Heart failure with reduced ejection fraction