A 65-year-old with HFrEF (EF 25%) on ACEi, carvedilol, and SGLT2 inhibitor remains symptomatic. Potassium 4.5 mEq/L, eGFR 55. What should be added to ...

Question

A 65-year-old with HFrEF (EF 25%) on ACEi, carvedilol, and SGLT2 inhibitor remains symptomatic. Potassium 4.5 mEq/L, eGFR 55. What should be added to reduce mortality?

Accepted Answer

Mineralocorticoid receptor antagonist

Answer

Thiazide diuretic

Answer

Ivabradine first-line

Answer

Non‑DHP calcium-channel blocker

Answer

Nitrate monotherapy

HFrEF (Add-on MRA) — MRCP Part 1 MCQ

A 65-year-old with HFrEF (EF 25%) on ACEi, carvedilol, and SGLT2 inhibitor remains symptomatic. Potassium 4.5 mEq/L, eGFR 55. What should be added to reduce mortality?