A 68-year-old man with chronic heart failure due to ischaemic heart disease (LVEF 35%) remains symptomatic (NYHA Class II) despite optimal doses of Ra...

Question

A 68-year-old man with chronic heart failure due to ischaemic heart disease (LVEF 35%) remains symptomatic (NYHA Class II) despite optimal doses of Ramipril (10mg OD) and Bisoprolol (10mg OD). His BP is 120/75 mmHg and eGFR is 55 ml/min/1.73m². According to NICE NG106, which medication should be added next to improve mortality?

Accepted Answer

Spironolactone 25mg OD

Answer

Digoxin 62.5mcg OD

Answer

Amlodipine 5mg OD

Answer

Furosemide 40mg BD (increase dose)

Answer

Ivabradine 5mg BD

ukmla MCQ (SBA): Heart Failure with Reduced Ejection Fraction (HFrEF)