Practice question

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A 70-year-old woman with known heart failure (LVEF 35%), optimally treated with Ramipril, Bisoprolol, and Furosemide, remains symptomatic (NYHA class II). Her heart rate is 75 bpm in sinus rhythm and eGFR is >60 mL/min/1.73m^2. According to NICE NG106, which medication should be added next to improve prognosis?

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