Question

A 64-year-old with symptomatic HFrEF (EF 30%) on lisinopril and metoprolol succinate remains dyspneic (NYHA II). Potassium is 4.5 mEq/L and eGFR 55 mL/min/1.73 m². What medication class should be added next to reduce mortality and HF hospitalizations?

Accepted Answer

SGLT2 inhibitor (e.g., dapagliflozin)

Answer

Digoxin

Answer

Long-acting nitrate

Answer

Non-dihydropyridine CCB

Answer

Class Ic antiarrhythmic

Practice question

A 64-year-old with symptomatic HFrEF (EF 30%) on lisinopril and metoprolol succinate remains dyspneic (NYHA II). Potassium is 4.5 mEq/L and eGFR 55 mL/min/1.73 m². What medication class should be added next to reduce mortality and HF hospitalizations?