Facharzt FMH Allgemeine Innere Medizin Practice Questions - Facharzt FMH Für Allgemeine Innere Medizin Spécialiste FMH En Médecine Interne Générale Exam

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A 66-year-old male with symptomatic heart failure and reduced ejection fraction (LVEF 30%) remains in NYHA class III despite treatment with sacubitril/valsartan 97/103 mg twice daily, empagliflozin 10 mg daily, and eplerenone 50 mg daily. His blood pressure is 118/74 mmHg and heart rate is 78 bpm in sinus rhythm. According to ESC and SGAIM guidelines, which medication should be added to complete the four pillars of guideline-directed medical therapy (GDMT)?

Bisoprolol titrated to target dose (or carvedilol/metoprolol succinate) Digoxin 0.125 mg daily Ivabradine 5 mg twice daily Furosemide 40 mg daily

Correct Answer:

Bisoprolol titrated to target dose (or carvedilol/metoprolol succinate)

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