EasyCardiovascularHeart failure with reduced ejection fraction – core therapyuk-plab-1
A 76-year-old woman presents with progressive exertional dyspnoea, orthopnoea and bilateral ankle swelling. She has a history of anterior MI. On examination she has bibasal crackles and pitting oedema. Echocardiography shows left ventricular ejection fraction 30%. She is already on Ramipril and Furosemide. What is the most appropriate additional disease-modifying therapy?