A 70-year-old man with a history of myocardial infarction presents to clinic with exertional breathlessness and ankle swelling. Echocardiography confi...

Question

A 70-year-old man with a history of myocardial infarction presents to clinic with exertional breathlessness and ankle swelling. Echocardiography confirms heart failure with reduced ejection fraction. He is currently on furosemide and low-dose aspirin only. Blood pressure is 120/70 mmHg and renal function is normal. What is the most appropriate disease-modifying treatment to start now?

Accepted Answer

Add an angiotensin-converting enzyme (ACE) inhibitor

Answer

Add a thiazide diuretic

Answer

Add a non-dihydropyridine calcium-channel blocker

Answer

Add digoxin

Answer

Add an alpha-blocker

uk-plab-1 MCQ (SBA): Chronic heart failure