A 64-year-old with HFrEF (LVEF 25%) and persistent symptoms on ARNI, β‑blocker, MRA, and SGLT2 inhibitor asks about additional therapy. QRS is 160 ms ...

Question

A 64-year-old with HFrEF (LVEF 25%) and persistent symptoms on ARNI, β‑blocker, MRA, and SGLT2 inhibitor asks about additional therapy. QRS is 160 ms with LBBB, sinus rhythm. Best next step?

Accepted Answer

Refer for cardiac resynchronization therapy

Answer

Add ivabradine

Answer

Start vericiguat

Answer

Start hydralazine-isosorbide dinitrate

Answer

Add digoxin

us-abim MCQ (SBA): Heart Failure-Device Therapy

A 64-year-old with HFrEF (LVEF 25%) and persistent symptoms on ARNI, β‑blocker, MRA, and SGLT2 inhibitor asks about additional therapy. QRS is 160 ms with LBBB, sinus rhythm. Best next step?