Question

A 56‑year‑old with newly diagnosed HFrEF (LVEF 25%) on metoprolol succinate and sacubitril/valsartan remains NYHA II. BP 122/74 mmHg, eGFR 60 mL/min/1.73 m², K⁺ 4.6 mEq/L, A1c 5.7%. Which addition improves mortality and HF hospitalization regardless of diabetes?

Accepted Answer

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

Answer

Start digoxin

Answer

Start hydralazine alone

Answer

Add verapamil

Answer

Start loop diuretic for euvolemia

Practice question

A 56‑year‑old with newly diagnosed HFrEF (LVEF 25%) on metoprolol succinate and sacubitril/valsartan remains NYHA II. BP 122/74 mmHg, eGFR 60 mL/min/1.73 m², K⁺ 4.6 mEq/L, A1c 5.7%. Which addition improves mortality and HF hospitalization regardless of diabetes?