Question

A 60-year-old with HFrEF (LVEF 30%) on ACE inhibitor and beta-blocker remains NYHA II. Creatinine 1.1 mg/dL, K 4.6 mEq/L. Diabetes negative. Which addition improves mortality and HF hospitalization?

Accepted Answer

Add an SGLT2 inhibitor (e.g., dapagliflozin 10 mg daily)

Answer

Add digoxin now

Answer

Stop ACE inhibitor and start diltiazem

Answer

Add PRN furosemide only

Answer

Increase beta-blocker above target despite bradycardia

Practice question

A 60-year-old with HFrEF (LVEF 30%) on ACE inhibitor and beta-blocker remains NYHA II. Creatinine 1.1 mg/dL, K 4.6 mEq/L. Diabetes negative. Which addition improves mortality and HF hospitalization?