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EasyCardiologyHeart failure with reduced ejection fractionus-abfmus-abimus-usmle-step-2us-usmle-step-3

A 58-year-old man with long-standing hypertension and chronic kidney disease presents with progressive dyspnea on exertion and orthopnea. Blood pressure is 150/88 mmHg. Cardiac exam shows a displaced apical impulse and S3 gallop. Echocardiogram shows LVEF 35 percent. He is on lisinopril and furosemide. What medication should be added next to improve survival?

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