Question

A 64-year-old with HFrEF and recurrent hospitalizations despite GDMT asks about devices. Which pharmacologic optimization should be ensured first?

Accepted Answer

Ensure ARNI/BB/MRA/SGLT2 are implemented at target or maximally tolerated doses

Answer

Add non-DHP calcium channel blocker

Answer

Stop ACE/ARB to avoid hypotension

Answer

Add chronic oral steroids

Answer

Focus only on diuretics

Practice question

A 64-year-old with HFrEF and recurrent hospitalizations despite GDMT asks about devices. Which pharmacologic optimization should be ensured first?