A 73-year-old with HFrEF (LVEF 32%) on ARNI, beta-blocker, MRA, and SGLT2i has resting HR 78 in sinus rhythm. QRS 100 ms. NYHA II. Next disease-modify...

Question

A 73-year-old with HFrEF (LVEF 32%) on ARNI, beta-blocker, MRA, and SGLT2i has resting HR 78 in sinus rhythm. QRS 100 ms. NYHA II. Next disease-modifying step?

Accepted Answer

No additional disease-modifying therapy indicated now

Answer

Add ivabradine

Answer

Add hydralazine-isosorbide in all

Answer

Cardiac resynchronization therapy

Answer

Add verapamil

us-abim MCQ (SBA): HFrEF Optimization

A 73-year-old with HFrEF (LVEF 32%) on ARNI, beta-blocker, MRA, and SGLT2i has resting HR 78 in sinus rhythm. QRS 100 ms. NYHA II. Next disease-modifying step?