A 76-year-old woman with a history of hypertension and osteoarthritis presents with exertional dyspnoea and ankle swelling. Echocardiogram shows an LV...

Question

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?

Accepted Answer

Cardioselective beta-blocker (e.g., bisoprolol)

Answer

Non-dihydropyridine calcium channel blocker

Answer

Long-acting nitrate

Answer

Digoxin

Answer

Thiazide diuretic

ca-mccqe1 MCQ (SBA): Heart failure with reduced ejection fraction