MediumCardiologyHeart failure with reduced ejection fractionau-amcau-racp
A 58-year-old man with reduced left ventricular ejection fraction (LVEF 30%) after an anterior myocardial infarction remains breathless on exertion and has bilateral ankle oedema. He is on optimal doses of an ACE inhibitor and a beta blocker. Blood pressure is 110/68 mmHg, creatinine 95 µmol/L and potassium 4.3 mmol/L. Which additional medication is recommended to reduce mortality and hospitalisation?