Question

An 81-year-old man with HFrEF (EF 28%) has BP 102/64, K 4.4, eGFR 58. On ARNI, beta-blocker, MRA, SGLT2. Still NYHA III. Next evidence-based add-on?

Accepted Answer

Consider hydralazine/isosorbide dinitrate (especially in persistent symptoms)

Answer

Digoxin as first mortality-reducing add-on

Answer

Ivabradine for AF

Answer

Discontinue ARNI

Answer

Chronic steroids

Practice question

An 81-year-old man with HFrEF (EF 28%) has BP 102/64, K 4.4, eGFR 58. On ARNI, beta-blocker, MRA, SGLT2. Still NYHA III. Next evidence-based add-on?