MediumCardiologyHeart failure with reduced ejection fractionau-racpau-amc
A 65-year-old man presents with gradually worsening shortness of breath on exertion and orthopnoea. He has bilateral basal crackles, pitting ankle oedema and elevated jugular venous pressure. Echocardiogram shows left ventricular ejection fraction 30%. According to current heart failure management principles, which drug should be included EARLY in his regimen unless contraindicated?