Heart Failure

Question 1

Management of HFrEF?

Answer 1

1st line= ACEI + BB
2nd line= Spironolactone (aldosterone antagonsit)
3rd= SGLT-2 inhibitor (Dapagliflozin)

4th:
-Ivabradine (HR>75 + EF<35%)
-Subcubitril valsartan
-Digoxin (for patients with AF)
-Hydralazine + nitrate (good for afro carribean)
-Cardiac resynchronisation therapy (widened QRS)