MediumCardiologyHeart failure with reduced ejection fractionau-amcau-racp
A 65-year-old man with ischaemic cardiomyopathy has an echocardiogram showing a left ventricular ejection fraction of 30%. He has NYHA class II symptoms and is not currently on any heart failure medications. His blood pressure is 120/70 mmHg, heart rate 78 bpm and renal function is normal. According to heart failure guidelines, which medication class should be commenced first to improve long-term mortality?