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Residencias CABA Medicina Practice Questions - Buenos Aires City Health Residencies Contest (Concurso De Residencias Del Equipo De Salud Del GCABA - Medicina) Exam

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A 64-year-old female with chronic heart failure and a left ventricular ejection fraction (LVEF) of 28% remains symptomatic (NYHA Functional Class II) despite optimized treatment with sacubitril/valsartan and carvedilol. Her blood pressure is 122/76 mmHg, heart rate is 68 bpm, serum potassium is 4.3 mEq/L, and estimated GFR is 58 mL/min/1.73 m2. According to international and Argentine cardiology guidelines (SAC), which combination of medications should be added to complete foundational guideline-directed medical therapy (GDMT)?
Correct Answer:
Spironolactone and dapagliflozin

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