Question

A 60-year-old man is diagnosed with heart failure with reduced ejection fraction (HFrEF). According to NICE, which drug class should be introduced first for his long-term management (assuming no contraindications)?

Accepted Answer

ACE inhibitor (e.g., ramipril)

Answer

Loop diuretic (e.g., furosemide)

Answer

Beta-blocker (e.g., carvedilol)

Answer

Mineralocorticoid receptor antagonist (e.g., spironolactone)

Answer

Hydralazine and nitrate combination

Practice question

A 60-year-old man is diagnosed with heart failure with reduced ejection fraction (HFrEF). According to NICE, which drug class should be introduced first for his long-term management (assuming no contraindications)?