Question

A 70 year old woman with a history of ischaemic heart disease presents with exertional dyspnoea and ankle swelling. Echocardiography shows a left ventricular ejection fraction of 30 percent. She is euvolaemic. Which combination of drugs should be started first line to improve prognosis?

Accepted Answer

ACE inhibitor and beta blocker

Answer

Thiazide diuretic and aspirin

Answer

Loop diuretic alone

Answer

Non dihydropyridine calcium channel blocker and nitrate

Answer

Ivabradine monotherapy

Practice question

A 70 year old woman with a history of ischaemic heart disease presents with exertional dyspnoea and ankle swelling. Echocardiography shows a left ventricular ejection fraction of 30 percent. She is euvolaemic. Which combination of drugs should be started first line to improve prognosis?