Question

A 73-year-old woman with HFrEF (EF 30%), NYHA II on metoprolol succinate, sacubitril/valsartan, and spironolactone. Creatinine 1.0, eGFR 70. What is the next medication to reduce mortality and HF hospitalization?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add ivabradine

Answer

Add hydralazine alone

Answer

Add verapamil

Answer

Increase beta-blocker to non-evidence-based agent

Practice question

A 73-year-old woman with HFrEF (EF 30%), NYHA II on metoprolol succinate, sacubitril/valsartan, and spironolactone. Creatinine 1.0, eGFR 70. What is the next medication to reduce mortality and HF hospitalization?