A 62-year-old with HFrEF (LVEF 30%) is on sacubitril/valsartan, metoprolol succinate, and spironolactone. BP 112/70 mm Hg, eGFR 55 mL/min/1.73 m². Nex...

Question

A 62-year-old with HFrEF (LVEF 30%) is on sacubitril/valsartan, metoprolol succinate, and spironolactone. BP 112/70 mm Hg, eGFR 55 mL/min/1.73 m². Next medication to further reduce mortality/hospitalization?

Accepted Answer

Add an SGLT2 inhibitor (e.g., dapagliflozin)

Answer

Add hydralazine/isosorbide dinitrate

Answer

Add ivabradine

Answer

Start vericiguat

Answer

Increase diuretic dose

us-abim MCQ (SBA): Heart Failure (HFrEF)

A 62-year-old with HFrEF (LVEF 30%) is on sacubitril/valsartan, metoprolol succinate, and spironolactone. BP 112/70 mm Hg, eGFR 55 mL/min/1.73 m². Next medication to further reduce mortality/hospitalization?