Question

A 60-year-old with HFrEF (LVEF 30%) on ACEi and β-blocker only is seen after a recent HF admission. Which change most completely implements foundational therapy?

Accepted Answer

Switch ACEi to sacubitril/valsartan and add spironolactone and an SGLT2 inhibitor

Answer

Add furosemide and digoxin

Answer

Add verapamil and nitrates

Answer

Add hydralazine/isosorbide in all patients regardless of race or ACEi tolerance

Answer

Increase β-blocker to maximum and defer other drugs

Practice question

A 60-year-old with HFrEF (LVEF 30%) on ACEi and β-blocker only is seen after a recent HF admission. Which change most completely implements foundational therapy?