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MediumCardiologyPharmacological Management of HFrEFukmlamrcp part 1paneprescribing safety assessment

A 67-year-old woman with known heart failure (LVEF 35%) presents with increasing shortness of breath on exertion and bilateral ankle swelling over the past week. Her current medications include ramipril, bisoprolol, and furosemide. On examination, her JVP is elevated to 5cm, and she has bibasal crackles. Her weight has increased by 2kg. Which medication, if added, has been shown to improve mortality in patients with heart failure with reduced ejection fraction (HFrEF) like hers, assuming her renal function and potassium are satisfactory?

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