A 56-year-old woman with long-standing type 2 diabetes and hypertension presents with exertional dyspnoea and ankle swelling. Echocardiography confirm...

Question

A 56-year-old woman with long-standing type 2 diabetes and hypertension presents with exertional dyspnoea and ankle swelling. Echocardiography confirms heart failure with preserved ejection fraction. She is on Ramipril and Bisoprolol. Her blood pressure is 148/88 mmHg and she remains symptomatic. According to current NICE guidance, which additional class of drug may improve outcomes in HFpEF?

Accepted Answer

SGLT2 inhibitor such as Empagliflozin

Answer

Thiazide-like diuretic

Answer

High-dose loop diuretic

Answer

Long-term intravenous inotrope

Answer

Digoxin

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