Question

A 62-year-old with diabetes and HFrEF (EF 32%) is on ARNI, beta-blocker, MRA, and SGLT2i. BP 106/68, HR 62, K 4.7. Which additional measure reduces HF hospitalization?

Accepted Answer

Cardiac rehabilitation referral

Answer

Ivabradine (resting HR >70 needed)

Answer

Hydralazine-isosorbide dinitrate only in non-Black patients

Answer

Increase ARNI dose beyond max

Answer

Stop SGLT2 inhibitor

Practice question

A 62-year-old with diabetes and HFrEF (EF 32%) is on ARNI, beta-blocker, MRA, and SGLT2i. BP 106/68, HR 62, K 4.7. Which additional measure reduces HF hospitalization?