Question

A 54-year-old with HFrEF (LVEF 30%) on lisinopril and metoprolol has NYHA II symptoms and eGFR 55 mL/min/1.73 m². What additional therapy reduces HF hospitalisation and mortality regardless of diabetes?

Accepted Answer

Add dapagliflozin 10 mg daily

Answer

Add spironolactone 12.5 mg daily only if K+ <3.5 mEq/L

Answer

Switch lisinopril to hydralazine/isosorbide mononitrate

Answer

Start furosemide 80 mg daily

Answer

Add amlodipine 10 mg daily

Practice question

A 54-year-old with HFrEF (LVEF 30%) on lisinopril and metoprolol has NYHA II symptoms and eGFR 55 mL/min/1.73 m². What additional therapy reduces HF hospitalisation and mortality regardless of diabetes?