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

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MediumCardiologyHeart failure with reduced ejection fractionau-amcau-racp

A 68-year-old man with ischaemic cardiomyopathy (left ventricular ejection fraction 30%) presents for routine review. He has NYHA class II symptoms despite being on optimal doses of perindopril and frusemide. Blood pressure is 118/70 mmHg, heart rate 74 beats/min, and renal function is stable. According to Australian heart failure guidelines, which additional pharmacological therapy should be introduced next to improve prognosis?

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au-amc MCQ: Heart failure with reduced ejection fraction — Answer & Ex