Question

A 70-year-old male with chronic heart failure (HFrEF) on ACE inhibitor, beta-blocker, and diuretic remains symptomatic. Which additional medication is recommended by NICE to improve symptoms and prognosis in this scenario?

Accepted Answer

An aldosterone antagonist (e.g., spironolactone)

Answer

A second diuretic

Answer

An angiotensin receptor blocker (ARB) plus a calcium channel blocker

Answer

A loop diuretic with a higher dose

Answer

Digoxin as monotherapy

Practice question

A 70-year-old male with chronic heart failure (HFrEF) on ACE inhibitor, beta-blocker, and diuretic remains symptomatic. Which additional medication is recommended by NICE to improve symptoms and prognosis in this scenario?