Lvef 30% in Medicine / Internal Medicine — 62yo Man | Cardiology | SMLE Q#12186
SMLE Question #12186
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 62-year-old man has chronic symptomatic HFrEF due to ischemic cardiomyopathy with LVEF 30% and persistent NYHA class II–III symptoms despite therapy with sacubitril/valsartan, metoprolol succinate (maximum tolerated dose), spironolactone, dapagliflozin, and furosemide. Which additional medication is most appropriate to reduce heart failure hospitalizations?
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