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EasyCardiologyHeart failure with reduced ejection fraction - contraindicated drugsca-mccqe1ca-rcpsc-im

A 70-year-old woman with long-standing type 2 diabetes and hypertension presents with progressive exertional dyspnoea and ankle swelling. Echocardiogram shows LVEF 35%. She also has chronic kidney disease (eGFR 40 mL/min/1.73 m²). According to CCS heart failure guidance, which medication should generally be avoided or used with great caution because of potential harm?

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