A 50-year-old with chronic HFrEF and type 2 diabetes has persistent symptoms on ARNI, beta-blocker, MRA, and SGLT2 inhibitor. Heart rate 78 bpm, sinus...

Question

A 50-year-old with chronic HFrEF and type 2 diabetes has persistent symptoms on ARNI, beta-blocker, MRA, and SGLT2 inhibitor. Heart rate 78 bpm, sinus rhythm. Next step to reduce hospitalisations?

Accepted Answer

Consider hydralazine-isosorbide dinitrate if on optimal therapy and persistent symptoms

Answer

Start verapamil

Answer

Add pioglitazone for glycaemia

Answer

Stop ARNI to add ACEI

Answer

Add NSAID for musculoskeletal pain

us-abim MCQ (SBA): Heart Failure (HFrEF)

A 50-year-old with chronic HFrEF and type 2 diabetes has persistent symptoms on ARNI, beta-blocker, MRA, and SGLT2 inhibitor. Heart rate 78 bpm, sinus rhythm. Next step to reduce hospitalisations?