Ischemic Cardiomyopathy in Medicine / Internal Medicine — 62yo Man | Cardiology | SMLE Q#321
SMLE Question #321
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 62-year-old man with ischemic cardiomyopathy and chronic heart failure with reduced ejection fraction (LVEF 30%) attends a routine clinic follow-up. He reports no dyspnea, orthopnea, or edema (NYHA class I). Current medications are enalapril, furosemide, aspirin, and simvastatin. Which medication is most appropriate to add to reduce mortality and improve long-term outcomes?
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