Question

A 70-year-old man with known ischaemic cardiomyopathy (LVEF 30%) is clinically euvolaemic in your clinic. He has NYHA class II symptoms but no current oedema. Which medication combination forms the cornerstone of disease-modifying therapy in such heart failure with reduced ejection fraction?

Accepted Answer

ACE inhibitor (or ARB) plus beta blocker

Answer

Loop diuretic alone

Answer

Short-acting nitrate plus aspirin

Answer

Digoxin plus thiazide diuretic

Answer

Non-dihydropyridine calcium channel blocker plus beta blocker

Practice question

A 70-year-old man with known ischaemic cardiomyopathy (LVEF 30%) is clinically euvolaemic in your clinic. He has NYHA class II symptoms but no current oedema. Which medication combination forms the cornerstone of disease-modifying therapy in such heart failure with reduced ejection fraction?