A 66-year-old man with HFrEF and persistent sinus tachycardia 82 bpm on optimal beta-blocker/ARNI/MRA/SGLT2. No AF. What rate strategy is indicated?...

Question

A 66-year-old man with HFrEF and persistent sinus tachycardia 82 bpm on optimal beta-blocker/ARNI/MRA/SGLT2. No AF. What rate strategy is indicated?

Accepted Answer

No specific additional rate drug; ensure GDMT titration

Answer

Add ivabradine for HR >=70 despite max beta-blocker only if symptomatic

Answer

Add verapamil

Answer

Stop beta-blocker

Answer

Add digoxin first-line in all HFrEF

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