MediumCardiologyHeart failure with reduced ejection fractionca-mccqe1ca-rcpsc-im
A 76-year-old woman with a history of hypertension and osteoarthritis presents with exertional dyspnoea and ankle swelling. Echocardiogram shows an LVEF of 30% with global hypokinesis. She is on ramipril and furosemide. According to contemporary heart failure management in Canada, which medication should be added next to improve survival?