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MRCP(UK) Part 2 Written Practice Questions - MRCP(UK) Part 2 (Written) Exam

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A 72-year-old man with chronic heart failure (LVEF 28%) remains symptomatic (NYHA II) despite optimal doses of ramipril, bisoprolol and spironolactone. He is in sinus rhythm at 78 bpm. According to NICE/ESC guidance, which change is most likely to reduce mortality and hospitalisation?
Correct Answer:
Switch ramipril to sacubitril-valsartan

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