A 66-year-old woman with HFrEF (EF 28%) is on ACE inhibitor, beta-blocker, and SGLT2 inhibitor. She is not on MRA. Her potassium is 4.6 and creatinine...

Question

A 66-year-old woman with HFrEF (EF 28%) is on ACE inhibitor, beta-blocker, and SGLT2 inhibitor. She is not on MRA. Her potassium is 4.6 and creatinine is 1.2. What is the next step?

Accepted Answer

Add spironolactone

Answer

Add ivabradine

Answer

Stop ACE inhibitor

Answer

Add hydralazine alone

Answer

Switch to verapamil

us-abim MCQ (SBA): HFrEF Optimization

A 66-year-old woman with HFrEF (EF 28%) is on ACE inhibitor, beta-blocker, and SGLT2 inhibitor. She is not on MRA. Her potassium is 4.6 and creatinine is 1.2. What is the next step?