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EasyCardiologyHeart failure with reduced ejection fractionau-amcau-racp

A 68-year-old man with ischaemic cardiomyopathy (LVEF 30% on echocardiogram) presents to clinic with exertional dyspnoea consistent with NYHA class II symptoms. He is in sinus rhythm, euvolaemic on frusemide 40 mg daily, and has normal serum potassium and renal function. Which additional medication is most appropriate to improve his long-term prognosis?

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