HFrEF (Ivabradine) — EECC MCQ

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ModerateCardiologyHFrEF (Ivabradine)EECC

A 58-year-old with HFrEF (EF 25%) and sinus rhythm HR 78/min on maximally tolerated beta-blocker, ARNI, MRA, SGLT2 has NYHA II symptoms. Which additional therapy is reasonable to reduce hospitalization?

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Correct answer: A — Ivabradine

Ivabradine may reduce HF hospitalizations in symptomatic HFrEF with sinus rhythm and resting HR >=70/min despite maximally tolerated beta-blocker. It is not indicated with HR <70. Vasodilators alone do not replace guideline therapy. Amiodarone/verapamil are not HF disease-modifying.

Reference: AHA/ACC/HFSA Guideline (2022): Heart Failure