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EasyCardiologyHeart failure with reduced ejection fractionau-amcau-racp

A 68-year-old woman with a history of myocardial infarction has exertional dyspnoea and ankle oedema. Echocardiogram shows an ejection fraction of 30% and global LV systolic dysfunction. Her BP is 130/80 mmHg and creatinine 85 µmol/L. Which ONE of the following is the most appropriate first-line disease-modifying therapy to commence (assuming no contraindications)?

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