A 55-year-old with HFrEF (EF 28%) on carvedilol, sacubitril/valsartan, spironolactone still has symptoms. eGFR 55. Next medication with mortality bene...

Question

A 55-year-old with HFrEF (EF 28%) on carvedilol, sacubitril/valsartan, spironolactone still has symptoms. eGFR 55. Next medication with mortality benefit?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add ivabradine before SGLT2 inhibitor

Answer

Switch to verapamil

Answer

Stop ACE/ARNI due to cough

Answer

Add isosorbide mononitrate alone

us-abim MCQ (SBA): HFrEF GDMT Optimization

A 55-year-old with HFrEF (EF 28%) on carvedilol, sacubitril/valsartan, spironolactone still has symptoms. eGFR 55. Next medication with mortality benefit?