A 65-year-old man presents with increasing shortness of breath, orthopnoea, and ankle oedema. Echocardiogram confirms LVEF 35%. He is currently taking...

Question

A 65-year-old man presents with increasing shortness of breath, orthopnoea, and ankle oedema. Echocardiogram confirms LVEF 35%. He is currently taking Bisoprolol 5mg OD. Examination reveals elevated JVP and bilateral basal crackles. What is the most appropriate next addition to his management?

Accepted Answer

Furosemide and an ACE inhibitor (e.g., Ramipril)

Answer

Amlodipine

Answer

Digoxin

Answer

Furosemide and Spironolactone

Answer

Ivabradine

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

A 65-year-old man presents with increasing shortness of breath, orthopnoea, and ankle oedema. Echocardiogram confirms LVEF 35%. He is currently taking Bisoprolol 5mg OD. Examination reveals elevated JVP and bilateral basal crackles. What is the most appropriate next addition to his management?