A 73-year-old with HFrEF on ACEi and beta-blocker has K+ 5.2 mmol/L and eGFR 55. Considering MRA therapy, which is appropriate?...

Question

A 73-year-old with HFrEF on ACEi and beta-blocker has K+ 5.2 mmol/L and eGFR 55. Considering MRA therapy, which is appropriate?

Accepted Answer

Start spironolactone 25 mg daily with monitoring

Answer

Start eplerenone 50 mg BD without monitoring

Answer

Avoid MRA due to mild hyperkalaemia

Answer

Start spironolactone 50 mg BD

Answer

Start digoxin instead of MRA

ukmla MCQ (SBA): Heart Failure Medicines Optimisation