ModerateCardiovascularChronic heart failure with reduced ejection fractionuk-plab-1
A 69-year-old man with confirmed heart failure with reduced ejection fraction (HFrEF) has an ejection fraction of 30% on echocardiography. He has NYHA class II symptoms despite being on Ramipril at target dose. His renal function is normal and potassium is 4.5 mmol/L. According to NICE guidance, which additional medication should now be prioritised to improve prognosis?