Question

A 64-year-old patient with heart failure with reduced ejection fraction is breathless on exertion. He is already on an ACE inhibitor and a beta-blocker. According to NICE guidance, what is the next recommended add-on therapy to further improve outcomes?

Accepted Answer

Mineralocorticoid receptor antagonist (MRA)

Answer

Loop diuretic

Answer

Hydralazine and nitrate

Answer

Digoxin

Answer

Ivabradine

Practice question

A 64-year-old patient with heart failure with reduced ejection fraction is breathless on exertion. He is already on an ACE inhibitor and a beta-blocker. According to NICE guidance, what is the next recommended add-on therapy to further improve outcomes?