Question

A 58-year-old with new HFrEF has EF 32% and SBP 110 mm Hg. Which ARNI initiation strategy is correct?

Accepted Answer

If on ACE inhibitor, allow 36-hour washout before starting sacubitril/valsartan

Answer

Start immediately after last ACE inhibitor dose

Answer

Use with aliskiren in diabetes

Answer

Contraindicated at EF >30%

Answer

Use only if SBP >140 mm Hg

Practice question

A 58-year-old with new HFrEF has EF 32% and SBP 110 mm Hg. Which ARNI initiation strategy is correct?