Question

A 65-year-old man with heart failure with reduced ejection fraction (HFrEF, LVEF 35%) is symptomatic despite treatment with ramipril 10mg OD and bisoprolol 10mg OD. His BP is 115/75 mmHg, HR 70 bpm, and eGFR 65 mL/min/1.73m². According to NICE NG106, what medication should be added next?

Accepted Answer

Spironolactone

Answer

Furosemide

Answer

Digoxin

Answer

Ivabradine

Answer

Sacubitril/Valsartan

Practice question

A 65-year-old man with heart failure with reduced ejection fraction (HFrEF, LVEF 35%) is symptomatic despite treatment with ramipril 10mg OD and bisoprolol 10mg OD. His BP is 115/75 mmHg, HR 70 bpm, and eGFR 65 mL/min/1.73m². According to NICE NG106, what medication should be added next?