MediumCardiologyHeart failure with reduced ejection fractionau-amcau-racp
A 72-year-old woman with a history of heart failure with reduced ejection fraction (LVEF 30 percent) presents to her GP for routine review. She is clinically euvolaemic. Current medications are frusemide alone and low-dose aspirin. According to contemporary heart failure guidelines, which class of medication should be added first to improve mortality?