Question

A 64-year-old with newly diagnosed HFrEF (LVEF 30%), NYHA II, K⁺ 4.6 mEq/L, eGFR 55 mL/min/1.73 m² is on low-dose lisinopril and furosemide. Which medication change best aligns with current guideline-directed medical therapy?

Accepted Answer

Switch lisinopril to sacubitril/valsartan after a 36-hour ACE inhibitor washout

Answer

Add digoxin now

Answer

Start verapamil for rate control

Answer

Withhold beta-blocker until EF improves

Answer

Start amlodipine to lower afterload

Practice question

A 64-year-old with newly diagnosed HFrEF (LVEF 30%), NYHA II, K⁺ 4.6 mEq/L, eGFR 55 mL/min/1.73 m² is on low-dose lisinopril and furosemide. Which medication change best aligns with current guideline-directed medical therapy?