A 50-year-old man presents with progressive exertional dyspnoea, orthopnoea and ankle swelling. Echocardiogram shows LVEF 25%. He is on ACE inhibitor ...

Question

A 50-year-old man presents with progressive exertional dyspnoea, orthopnoea and ankle swelling. Echocardiogram shows LVEF 25%. He is on ACE inhibitor and beta-blocker but no other heart failure medications. According to CCS heart failure guidelines, which additional drug class should be added to improve survival?

Accepted Answer

Mineralocorticoid receptor antagonist such as spironolactone

Answer

Non-dihydropyridine calcium channel blocker

Answer

Loop diuretic only

Answer

Alpha-blocker

Answer

Long-term NSAID for symptom control

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