A 68-year-old patient with reduced ejection fraction heart failure is started on an ACE inhibitor and a beta-blocker. Which additional medication acco...

Question

A 68-year-old patient with reduced ejection fraction heart failure is started on an ACE inhibitor and a beta-blocker. Which additional medication according to NICE guidelines is recommended if the patient remains symptomatic with an EF

Accepted Answer

Aldosterone antagonist e.g. spironolactone

Answer

Loop diuretic e.g. furosemide

Answer

Digoxin

Answer

Angiotensin receptor blocker e.g. losartan

Answer

Hydralazine with nitrate

Heart Failure — UKMLA MCQ

A 68-year-old patient with reduced ejection fraction heart failure is started on an ACE inhibitor and a beta-blocker. Which additional medication according to NICE guidelines is recommended if the patient remains symptomatic with an EF < 35%?