Question

A 68-year-old woman presents with progressive exertional dyspnoea and ankle swelling. Echocardiography shows LVEF 55%, concentric left ventricular hypertrophy, and diastolic dysfunction. She has long-standing hypertension. Which is the most appropriate primary management focus for her heart failure with preserved ejection fraction?

Accepted Answer

Aggressive control of blood pressure and comorbidities such as atrial fibrillation and diabetes

Answer

High-dose loop diuretics only

Answer

Routine use of ACE inhibitors, beta-blockers, and MRAs for mortality benefit

Answer

Implantable cardioverter-defibrillator placement

Answer

Cardiac resynchronisation therapy

Practice question