A 60-year-old with HFrEF and hypotension has ACEi intolerance due to cough and hyperkalaemia on MRA. Which agent reduces HF hospitalisation and mortal...

Question

A 60-year-old with HFrEF and hypotension has ACEi intolerance due to cough and hyperkalaemia on MRA. Which agent reduces HF hospitalisation and mortality and is potassium‑neutral?

Accepted Answer

Start SGLT2 inhibitor

Answer

Switch to ARNI regardless of BP

Answer

Start verapamil

Answer

Start NSAID for pain control

Answer

Use thiazide as HF disease‑modifying therapy

HFrEF (SGLT2 Benefits) — MRCP Part 1 MCQ

A 60-year-old with HFrEF and hypotension has ACEi intolerance due to cough and hyperkalaemia on MRA. Which agent reduces HF hospitalisation and mortality and is potassium‑neutral?