A 72-year-old woman has HFpEF, hypertension, and type 2 diabetes. EF is 58%, eGFR is 55 mL/min/1.73 m2, and she has had two heart failure

Question

A 72-year-old woman has HFpEF, hypertension, and type 2 diabetes. EF is 58%, eGFR is 55 mL/min/1.73 m2, and she has had two heart failure hospitalisations this year. She is euvolemic today. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start an SGLT2 inhibitor

Answer

Start nifedipine immediate release

Answer

Stop antihypertensive therapy

Answer

Refer for mitral valve replacement without valve disease

Answer

Start long-term oral prednisone

Heart failure with preserved ejection fraction — USMLE Step 3 MCQ

A 72-year-old woman has HFpEF, hypertension, and type 2 diabetes. EF is 58%, eGFR is 55 mL/min/1.73 m2, and she has had two heart failure hospitalisations this year. She is euvolemic today. Which of the following would you recommend at the follow-up visit?