Long-standing Hypertension in Medicine / Internal Medicine — 65yo Woman | Cardiology | SMLE Q#1054
SMLE Question #1054
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 65-year-old woman with long-standing hypertension and chronic HFrEF attends routine follow-up. She is clinically stable on perindopril and furosemide. Examination shows mild bilateral ankle oedema with clear lungs and no raised JVP. Echocardiography shows a left ventricular ejection fraction of 30%. She has no history of asthma or severe chronic obstructive pulmonary disease. Which of the following medications should be added to her regimen to improve survival?
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