Chronic Heart Failure in Medicine / Internal Medicine — 76yo Woman | Cardiology | SMLE Q#12045
SMLE Question #12045
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 76-year-old woman with chronic heart failure with reduced ejection fraction (LVEF 30%) reports NYHA class II dyspnea and intermittent ankle swelling. She has type 2 diabetes mellitus and stage 3 chronic kidney disease. She is currently euvolemic and on maximally tolerated guideline-directed medical therapy, with no recent hospital admissions. Her cardiologist discusses strategies that reduce future decompensation and rehospitalization in patients with established heart failure. What is the best secondary prevention strategy for this patient?
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