A 73-year-old woman with hypertension and diabetes has exertional dyspnea and ankle edema. Echocardiogram shows LVEF 58% and diastolic dysfunction.

Question

A 73-year-old woman with hypertension and diabetes has exertional dyspnea and ankle edema. Echocardiogram shows LVEF 58% and diastolic dysfunction. BNP is elevated. She improves with low-dose diuretic therapy. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Add an SGLT2 inhibitor if no contraindication

Answer

Stop blood pressure treatment

Answer

Refer for immediate transplant evaluation

Answer

Begin chronic oral prednisone

Answer

Start verapamil to raise ejection fraction

HFpEF — USMLE Step 3 MCQ

A 73-year-old woman with hypertension and diabetes has exertional dyspnea and ankle edema. Echocardiogram shows LVEF 58% and diastolic dysfunction. BNP is elevated. She improves with low-dose diuretic therapy. Which of the following would you recommend at the follow-up visit?