A 68-year-old man with ischaemic cardiomyopathy and left ventricular ejection fraction 30% (New York Heart Association class II) is taking Frusemide a...

Question

A 68-year-old man with ischaemic cardiomyopathy and left ventricular ejection fraction 30% (New York Heart Association class II) is taking Frusemide and perindopril. His blood pressure is 118/70 mmHg, pulse 72 beats/min and he is euvolaemic. Which medication change best aligns with contemporary Australian heart failure guidelines?

Accepted Answer

Add a heart failure beta blocker such as Bisoprolol and uptitrate as tolerated

Answer

Increase Frusemide dose and add a thiazide diuretic

Answer

Stop perindopril and commence an ACE inhibitor plus angiotensin receptor blocker combination

Answer

Add Digoxin for prognostic benefit

Answer

Cease Frusemide to minimise neurohormonal activation

au-amc MCQ (SBA): Heart failure with reduced ejection fraction