Question

A 61-year-old with HFrEF (EF 28%) on GDMT has resting HR 84/min and BP 104/66. He remains NYHA II. Labs show K⁺ 4.8 mEq/L and Cr 1.3 mg/dL. Which agent is contraindicated or not recommended?

Accepted Answer

Start verapamil for rate control

Answer

Add ivabradine

Answer

Add hydralazine/isosorbide dinitrate if Black with persistent symptoms

Answer

Switch ACEi to ARNI if not already

Answer

Add SGLT2 inhibitor

Practice question

A 61-year-old with HFrEF (EF 28%) on GDMT has resting HR 84/min and BP 104/66. He remains NYHA II. Labs show K⁺ 4.8 mEq/L and Cr 1.3 mg/dL. Which agent is contraindicated or not recommended?