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MediumCardiologyHeart failure with reduced ejection fractionca-mccqe1ca-rcpsc-im

A 67-year-old man with heart failure with reduced ejection fraction (EF 30%) remains symptomatic (NYHA II-III) despite optimal doses of an ACE inhibitor and evidence-based beta blocker. According to the CCS heart failure guideline, which additional medication class should be part of his core foundational regimen if no contraindications exist?

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