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HardCardiologyHeart failure with reduced ejection fractionca-mccqe1ca-rcpsc-im

A 68-year-old man with heart failure with reduced ejection fraction (LVEF 28%) is on ramipril, bisoprolol and spironolactone at guideline-directed doses. He remains NYHA class II and euvolaemic. His eGFR is 66 mL/min/1.73 m² and potassium 4.5 mmol/L. What is the next evidence-based pharmacologic addition?

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