Question

A 58-year-old man with heart failure with reduced ejection fraction (LVEF 30%) remains NYHA class II despite optimal doses of an ACE inhibitor and a beta-blocker. According to contemporary Canadian heart failure guidelines, which addition best reflects the recommended foundational pharmacologic regimen?

Accepted Answer

Add a mineralocorticoid receptor antagonist and an SGLT2 inhibitor

Answer

Add a thiazide diuretic alone

Answer

Switch ACE inhibitor to a calcium channel blocker

Answer

Add a mineralocorticoid receptor antagonist only

Answer

Add digoxin as the next step

Practice question