A 60-year-old man with long-standing hypertension and type 2 diabetes presents with exertional dyspnoea and ankle oedema. Echocardiography shows LVEF ...

Question

A 60-year-old man with long-standing hypertension and type 2 diabetes presents with exertional dyspnoea and ankle oedema. Echocardiography shows LVEF 28%. He is on an ACE inhibitor and beta-blocker but not other heart failure medications. According to CCS heart failure guidance, which additional class of drugs should be added to reduce morbidity and mortality?

Accepted Answer

Mineralocorticoid receptor antagonist (e.g., spironolactone)

Answer

Non-dihydropyridine calcium channel blocker

Answer

Class I antiarrhythmic agent

Answer

Long-acting nitrate monotherapy

Answer

Alpha-blocker

ca-mccqe1 MCQ (SBA): Heart failure with reduced ejection fraction