Heart Failure (HFrEF) — EECC MCQ

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EasyCardiologyHeart Failure (HFrEF)EECC

A 70-year-old with HFrEF is euvolaemic on furosemide 20 mg daily. Which medication should not be initiated due to harm in HFrEF?

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Correct answer: A — Non-DHP calcium-channel blocker (e.g., verapamil)

Verapamil and diltiazem have negative inotropic effects and should not be used to treat HFrEF. Disease-modifying therapy is built from renin–angiotensin-system or ARNI treatment, an evidence-based beta-blocker, mineralocorticoid-receptor antagonist and SGLT2 inhibitor as tolerated.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions