uk-plab-1 MCQ (SBA): Heart failure with reduced ejection fraction

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EasyCardiovascularHeart failure with reduced ejection fractionuk-plab-1

A 64-year-old man with a history of ischaemic heart disease presents with ankle swelling, exertional dyspnoea and orthopnoea. Echocardiography shows a left ventricular ejection fraction of 32%. His blood pressure is 130/78 mmHg and kidney function is normal. What is the most appropriate first-line disease-modifying therapy to start alongside a loop diuretic?

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uk-plab-1 MCQ: Heart failure with reduced ejection fraction — Answer &