Question

A patient with heart failure with reduced ejection fraction is on ACE inhibitors and beta-blockers but remains symptomatic. There is no contraindication to aldosterone antagonists. According to UK guidelines, what is the next step?

Accepted Answer

Add an aldosterone antagonist

Answer

Add digoxin

Answer

Stop ACE inhibitor and add ARB

Answer

Perform urgent cardiac MRI

Answer

Add Ivabradine immediately

Practice question

A patient with heart failure with reduced ejection fraction is on ACE inhibitors and beta-blockers but remains symptomatic. There is no contraindication to aldosterone antagonists. According to UK guidelines, what is the next step?