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EasyCardiovascularDecompensated heart failureuk-plab-1

A 64-year-old man presents with progressive exertional dyspnoea and ankle swelling. Examination reveals bibasal crackles and pitting oedema to the knees. Echocardiography confirms heart failure with reduced ejection fraction. On examination today he is fluid overloaded with raised JVP and bibasal crepitations. Which single drug is most appropriate for rapid relief of his congestion?

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