A 62-year-old with newly diagnosed HFrEF (LVEF 30%) is on lisinopril and metoprolol succinate. Blood pressure is 118/72 mmHg, K+ 4.6 mEq/L, creatinine...

Question

A 62-year-old with newly diagnosed HFrEF (LVEF 30%) is on lisinopril and metoprolol succinate. Blood pressure is 118/72 mmHg, K+ 4.6 mEq/L, creatinine 1.0 mg/dL. Which immediate change best optimizes guideline-directed medical therapy?

Accepted Answer

Switch lisinopril to sacubitril/valsartan with a 36-hour ACE inhibitor washout

Answer

Add hydralazine-isosorbide dinitrate

Answer

Add digoxin

Answer

Start amiodarone

Answer

Stop beta-blocker to allow uptitration of ACE inhibitor

us-abim MCQ (SBA): Heart Failure (HFrEF)

A 62-year-old with newly diagnosed HFrEF (LVEF 30%) is on lisinopril and metoprolol succinate. Blood pressure is 118/72 mmHg, K+ 4.6 mEq/L, creatinine 1.0 mg/dL. Which immediate change best optimizes guideline-directed medical therapy?