Question

A 48-year-old with newly diagnosed heart failure (EF 40%) is started on ramipril. He develops a persistent dry cough. What is the most suitable next step?

Accepted Answer

Stop ACE inhibitor and start ARB (e.g. candesartan)

Answer

Prescribe a cough suppressant

Answer

Add a beta-blocker

Answer

Add a loop diuretic

Answer

Continue ramipril as the cough will subside

Practice question

A 48-year-old with newly diagnosed heart failure (EF 40%) is started on ramipril. He develops a persistent dry cough. What is the most suitable next step?