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ModerateCardiovascularChronic heart failure with reduced ejection fractionuk-plab-1

A 78-year-old man with ischaemic heart disease and reduced ejection fraction heart failure is reviewed in clinic. He is clinically euvolaemic. His current medications are Bisoprolol, Ramipril and Furosemide. He remains NYHA class III. According to current guidance, which additional disease-modifying drug class should now be considered?

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