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ModerateCardiologyHeart Failure with Reduced Ejection Fractionus-abimus-usmle-step-2us-usmle-step-3

A 60-year-old with HFrEF (EF 30%) on maximally tolerated carvedilol and sacubitril/valsartan presents for optimization. eGFR 65 mL/min/1.73 m², K⁺ 4.4 mEq/L; no diabetes. What additional therapy reduces mortality and HF hospitalization independent of diabetes?

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