Question

A 50-year-old with HFrEF (EF 25%) on guideline therapy has persistent volume overload. Creatinine 1.6 mg/dL. Which diuretic strategy is appropriate?

Accepted Answer

Optimize loop diuretic dosing; consider sequential nephron blockade (add thiazide-type) short-term

Answer

Switch to non-DHP CCB

Answer

Salt loading to improve diuretic response

Answer

Stop diuretics to prevent kidney injury

Answer

Start NSAID for edema

Practice question

A 50-year-old with HFrEF (EF 25%) on guideline therapy has persistent volume overload. Creatinine 1.6 mg/dL. Which diuretic strategy is appropriate?