Question

A 61-year-old with HFrEF and persistent volume overload despite loop diuretic asks about thiazide addition. Which loop-thiazide combination strategy is correct?

Accepted Answer

Consider short-course sequential nephron blockade with close monitoring of electrolytes and renal function

Answer

Chronic fixed high-dose metolazone daily for all

Answer

Add hydrochlorothiazide without monitoring

Answer

Add spironolactone as a diuretic substitute

Answer

Switch to nifedipine

Practice question

A 61-year-old with HFrEF and persistent volume overload despite loop diuretic asks about thiazide addition. Which loop-thiazide combination strategy is correct?