A 72-year-old with HFrEF (EF 25%) is euvolemic on ARNI, beta-blocker, MRA, and SGLT2 inhibitor. BP 110/70, HR 62. Which addition is appropriate for re...

Question

A 72-year-old with HFrEF (EF 25%) is euvolemic on ARNI, beta-blocker, MRA, and SGLT2 inhibitor. BP 110/70, HR 62. Which addition is appropriate for resting HR ≥70 in sinus rhythm despite optimal therapy?

Accepted Answer

Ivabradine

Answer

Diltiazem

Answer

Verapamil

Answer

Digoxin as first-line

Answer

Isosorbide monotherapy

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

A 72-year-old with HFrEF (EF 25%) is euvolemic on ARNI, beta-blocker, MRA, and SGLT2 inhibitor. BP 110/70, HR 62. Which addition is appropriate for resting HR ≥70 in sinus rhythm despite optimal therapy?