A 74-year-old woman with heart failure, ejection fraction 58%, hypertension, and diabetes returns after a mild fluid overload episode. She is now

Question

A 74-year-old woman with heart failure, ejection fraction 58%, hypertension, and diabetes returns after a mild fluid overload episode. She is now euvolemic. eGFR is 64 mL/min/1.73 m2. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start an SGLT2 inhibitor

Answer

Start diltiazem for mortality reduction

Answer

Use chronic dobutamine at home

Answer

Schedule coronary bypass without ischemia evaluation

Answer

Stop antihypertensive therapy

Heart failure preserved ejection fraction — USMLE Step 3 MCQ

A 74-year-old woman with heart failure, ejection fraction 58%, hypertension, and diabetes returns after a mild fluid overload episode. She is now euvolemic. eGFR is 64 mL/min/1.73 m2. Which of the following would you recommend at the follow-up visit?