HardCardiovascularHeart failure with preserved ejection fractionuk-plab-1
A 56-year-old woman with long-standing type 2 diabetes and hypertension presents with exertional dyspnoea and ankle swelling. Echocardiography confirms heart failure with preserved ejection fraction. She is on Ramipril and Bisoprolol. Her blood pressure is 148/88 mmHg and she remains symptomatic. According to current NICE guidance, which additional class of drug may improve outcomes in HFpEF?