Question

A 68-year-old man with heart failure with reduced ejection fraction (LVEF 32%) complains of ankle swelling and exertional dyspnoea. He is not on any heart failure medications. What combination of drugs should be started as foundational therapy, assuming no contraindications?

Accepted Answer

ACE inhibitor and beta blocker

Answer

ACE inhibitor alone

Answer

Beta blocker alone

Answer

ACE inhibitor, beta blocker, and loop diuretic reserved for later

Answer

Thiazide diuretic and nitrates

Practice question

A 68-year-old man with heart failure with reduced ejection fraction (LVEF 32%) complains of ankle swelling and exertional dyspnoea. He is not on any heart failure medications. What combination of drugs should be started as foundational therapy, assuming no contraindications?