A 63-year-old man with HFrEF (EF 30%) on maximally tolerated sacubitril/valsartan and metoprolol succinate remains symptomatic (NYHA II). K⁺ 4.6 mEq/L...

Question

A 63-year-old man with HFrEF (EF 30%) on maximally tolerated sacubitril/valsartan and metoprolol succinate remains symptomatic (NYHA II). K⁺ 4.6 mEq/L, creatinine 1.2 mg/dL. Which next agent improves survival and hospitalization?

Accepted Answer

Add spironolactone

Answer

Add ivabradine

Answer

Add hydralazine alone

Answer

Switch beta-blocker to atenolol

Answer

Stop ARNI and use ACE inhibitor

us-abim MCQ (SBA): Heart Failure with Reduced Ejection Fraction

A 63-year-old man with HFrEF (EF 30%) on maximally tolerated sacubitril/valsartan and metoprolol succinate remains symptomatic (NYHA II). K⁺ 4.6 mEq/L, creatinine 1.2 mg/dL. Which next agent improves survival and hospitalization?