Question

A 64-year-old with HFrEF (LVEF 30%) is on ARNI, beta-blocker, and mineralocorticoid receptor antagonist. BP 118/72, eGFR 65. What additional foundational therapy reduces HF hospitalization and CV death?

Accepted Answer

Add an SGLT2 inhibitor (e.g., dapagliflozin)

Answer

Add verapamil

Answer

Add digoxin routinely

Answer

Add isosorbide mononitrate alone

Answer

Stop ARNI and switch to ACE inhibitor

Practice question

A 64-year-old with HFrEF (LVEF 30%) is on ARNI, beta-blocker, and mineralocorticoid receptor antagonist. BP 118/72, eGFR 65. What additional foundational therapy reduces HF hospitalization and CV death?