Question

A 59-year-old man with HFrEF (LVEF 32%) not on ARNI is stable. He tolerates ACE inhibitor and beta-blocker. Next optimization step to improve mortality?

Accepted Answer

Switch ACE inhibitor to sacubitril/valsartan (ARNI)

Answer

Add verapamil

Answer

Add isosorbide mononitrate alone

Answer

Stop ACE inhibitor

Answer

Start digoxin instead of ACE inhibitor

Practice question

A 59-year-old man with HFrEF (LVEF 32%) not on ARNI is stable. He tolerates ACE inhibitor and beta-blocker. Next optimization step to improve mortality?