A 63-year-old with HFrEF (EF 30%) and NYHA III is on ARNI, beta-blocker, MRA, SGLT2. Which addition may reduce HF hospitalization in patients with per...

Question

A 63-year-old with HFrEF (EF 30%) and NYHA III is on ARNI, beta-blocker, MRA, SGLT2. Which addition may reduce HF hospitalization in patients with persistent symptoms and normal potassium?

Accepted Answer

Add ivabradine if resting HR ≥70 in sinus rhythm despite max beta-blocker

Answer

Add hydralazine/isosorbide dinitrate to all

Answer

Start digoxin first-line

Answer

Increase loop diuretic indefinitely

Answer

Discontinue ARNI

us-abim MCQ (SBA): Heart Failure (Therapy Optimization)

A 63-year-old with HFrEF (EF 30%) and NYHA III is on ARNI, beta-blocker, MRA, SGLT2. Which addition may reduce HF hospitalization in patients with persistent symptoms and normal potassium?