Question

A 66-year-old woman with HFrEF (LVEF 30%) on metoprolol succinate and furosemide is euvolemic. Creatinine 1.0 mg/dL, K+ 4.6 mEq/L. Which addition most aligns with guideline-directed medical therapy?

Accepted Answer

Add sacubitril/valsartan and spironolactone

Answer

Add diltiazem

Answer

Add digoxin and stop beta-blocker

Answer

Add verapamil and nitrates only

Answer

Increase diuretic dose without other changes

Practice question

A 66-year-old woman with HFrEF (LVEF 30%) on metoprolol succinate and furosemide is euvolemic. Creatinine 1.0 mg/dL, K+ 4.6 mEq/L. Which addition most aligns with guideline-directed medical therapy?