Ischemic Cardiomyopathy in Medicine / Internal Medicine — 68yo Man | Cardiology | SMLE Q#1055
SMLE Question #1055
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 68-year-old man with ischemic cardiomyopathy and chronic systolic heart failure (LVEF 30%) attends routine follow-up. He reports mild exertional dyspnea and bilateral ankle swelling, without chest pain. His medications include furosemide and low-dose aspirin. Examination shows bibasilar crackles and bilateral pitting edema at the ankles. His clinician plans to optimize long-term heart failure therapy. Which medication is most likely to reduce mortality in this patient?
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