Question

A 58-year-old with HFrEF (EF 30%) NYHA II, eGFR 65, K+ 4.5, BP 118/72, no ARNI yet. Which combination represents guideline-directed foundational therapy to initiate?

Accepted Answer

ACE inhibitor + beta-blocker + MRA + SGLT2 inhibitor

Answer

ACE inhibitor + beta-blocker only

Answer

ARNI alone

Answer

Hydralazine-isosorbide dinitrate only

Answer

Loop diuretic + beta-blocker + digoxin

Practice question

A 58-year-old with HFrEF (EF 30%) NYHA II, eGFR 65, K+ 4.5, BP 118/72, no ARNI yet. Which combination represents guideline-directed foundational therapy to initiate?