A 64-year-old with symptomatic HFrEF (LVEF 30%) is on maximally tolerated ACE inhibitor, evidence-based beta-blocker, and spironolactone. BP 120/70, e...

Question

A 64-year-old with symptomatic HFrEF (LVEF 30%) is on maximally tolerated ACE inhibitor, evidence-based beta-blocker, and spironolactone. BP 120/70, eGFR 70. Which medication class should be added to complete foundational therapy?

Accepted Answer

SGLT2 inhibitor

Answer

Ivabradine

Answer

Loop diuretic

Answer

Hydralazine alone

Answer

Isosorbide mononitrate alone

Heart Failure with Reduced Ejection Fraction — MRCP Part 1 MCQ

A 64-year-old with symptomatic HFrEF (LVEF 30%) is on maximally tolerated ACE inhibitor, evidence-based beta-blocker, and spironolactone. BP 120/70, eGFR 70. Which medication class should be added to complete foundational therapy?