Practice question

Answer the question and get instant feedback.

ModerateCardiologyHeart Failure with Reduced Ejection Fractionus-abimus-abfmus-usmle-step-2

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?

Practice more on iatroX

Educational content. Not a substitute for clinical judgement or local policy.