Question

A 74-year-old woman with HFrEF (EF 25%) and sinus rhythm with a heart rate of 68 bpm is on an ACE inhibitor, beta-blocker, MRA, and SGLT2 inhibitor. She has persistent symptoms. What is the next disease-modifying addition?

Accepted Answer

Switch ACE inhibitor to ARNI

Answer

Add verapamil

Answer

Add digoxin as disease-modifying

Answer

Stop beta-blocker

Answer

Add amlodipine for mortality benefit

Practice question

A 74-year-old woman with HFrEF (EF 25%) and sinus rhythm with a heart rate of 68 bpm is on an ACE inhibitor, beta-blocker, MRA, and SGLT2 inhibitor. She has persistent symptoms. What is the next disease-modifying addition?