Practice question

Answer the question and get instant feedback.

HardCardiologyChronic systolic heart failure optimisationau-racpau-amc

A 68-year-old man with ischaemic cardiomyopathy (LVEF 30 percent), NYHA class II symptoms, and optimal doses of perindopril and bisoprolol remains mildly symptomatic. His BP is 118/70 mmHg, K⁺ 4.5 mmol/L and eGFR 65 mL/min/1.73 m². Which medication should be added next to reduce mortality in line with guideline-directed therapy?

Practice more on iatroX

Educational content. Not a substitute for clinical judgement or local policy.