Ischemic Cardiomyopathy Has Chronic in Medicine / Internal Medicine — 78yo Man | Cardiology | SMLE Q#12182
SMLE Question #12182
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 78-year-old man with ischemic cardiomyopathy has chronic HFrEF (LVEF 30% on echocardiogram 6 months ago). He takes furosemide, aspirin, and simvastatin. He has exertional dyspnea but no rest symptoms, orthopnea, or peripheral edema (NYHA class II). ECG shows sinus rhythm. Renal function and potassium are acceptable. Which medication is most appropriate to initiate now?
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