au-amc MCQ (SBA): Chronic heart failure optimisation

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HardCardiologyChronic heart failure optimisationau-amcau-racp

A 62-year-old man presents with progressive exertional dyspnoea and orthopnoea. He has a history of long-standing hypertension and past myocardial infarction. Echocardiogram shows an ejection fraction of 25% and moderate mitral regurgitation. Despite ACE inhibitor, beta blocker and spironolactone, he remains NYHA class III. What is the next evidence-based pharmacological addition?

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au-amc MCQ: Chronic heart failure optimisation — Answer & Explanation