uk-dgm MCQ (SBA): HFrEF - Adding MRA to ACEi and Beta-Blocker

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ModerateCardiovascular in Older PeopleHFrEF - Adding MRA to ACEi and Beta-Blockeruk-dgm

A 70-year-old man with a recent diagnosis of chronic heart failure (LVEF 30%) has been started on Ramipril and Bisoprolol. Despite optimal doses, he remains symptomatic (NYHA class II-III). His blood pressure is 110/68 and heart rate is 64 bpm. His eGFR is 48 and potassium is 4.8 mmol/L. According to NICE NG106, which medication should be added next?

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uk-dgm MCQ: HFrEF - Adding MRA to ACEi and Beta-Blocker — Answer & Exp