Question

A 70-year-old with HFrEF (EF 30%) due to ischemic cardiomyopathy is euvolemic and on lisinopril and furosemide. According to guideline-directed therapy, which addition most improves mortality and HF hospitalization when added as one of the four foundational agents?

Accepted Answer

Add SGLT2 inhibitor (e.g., dapagliflozin)

Answer

Add digoxin

Answer

Add verapamil

Answer

Add hydralazine alone

Answer

Stop ACE inhibitor

Practice question

A 70-year-old with HFrEF (EF 30%) due to ischemic cardiomyopathy is euvolemic and on lisinopril and furosemide. According to guideline-directed therapy, which addition most improves mortality and HF hospitalization when added as one of the four foundational agents?