Question

A 45-year-old man with heart failure with reduced ejection fraction (HFrEF) is stable and euvolaemic. Current meds: ramipril 10 mg daily and furosemide 40 mg daily. What should be added next to improve prognosis?

Accepted Answer

Bisoprolol (or other evidence-based β-blocker)

Answer

Digoxin

Answer

Diltiazem

Answer

Hydralazine alone

Answer

Ivabradine as first addition

Practice question

A 45-year-old man with heart failure with reduced ejection fraction (HFrEF) is stable and euvolaemic. Current meds: ramipril 10 mg daily and furosemide 40 mg daily. What should be added next to improve prognosis?