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1. For a patient with Stage C HF, reduced ejection fraction, and no renal impairment, which of the following classes of medication should initially be considered?

A. Diuretic, ACE inhibitor/ARB/ARNI, beta-blocker, aldosterone antagonist B. Diuretic, ACE inhibitor/ARB/ARNI, beta-blocker, and hydralazine/isosorbide dinitrate C. Diuretic, ACE inhibitor/ARB/ARNI, aldosterone antagonist, fish oil D. Diuretic, ACE inhibitor/ARB/ARNI, beta-blocker, ivabradine

2. Which of the following is the most important next consideration in the management of this patient's heart failure? Case Study

A. Increase beta-blocker dose to 50 mg bid to achieve target dose B. Ask the patient about his diuretic response and adjust diuretic by increasing either the dose or the frequency C. Discontinue enalapril and initiate sacubitril/valsartan therapy D. Both A and C could be considerations

3. What is the next consideration for this patient? Case Study

A. Change metoprolol succinate to metoprolol tartrate, since tartrate formulation has been shown in large controlled trials to be of benefit B. Increase metoprolol succinate 25mg bid to 50 mg bid C. Discontinue enalapril and initiate sacubitril/valsartan therapy D. Both B and C should be considered next in this patient

4. In which patients is the combination of hydralazine and isosorbide dinitrate recommended per current heart failure guidelines?

A. Self-identified African Americans, as initial therapy for heart failure B. Self-identified African-American patients with HFrEF who remain symptomatic on optimized beta-blocker/ACE inhibitor/ARB therapy C. Patients with heart rate > 70 beats/minute D. A and B above

5. Upon initiating beta-blocker therapy in patients with heart failure the following may be expected:

A. Increase in ejection fraction B. Increase in cardiac output C. Increase in fatigue D. All the above

6. Which of the following should be considered in patients with heart failure and preserved ejection fraction (HFpEF)?

A. Initiate sacubitril/valsartan 24/26 mg twice daily B. Initiate ACE inhibitor and beta-blocker therapy C. Manage fluid balance and treat risk factors such as hypertension and lipids D. Initiate hydralazine and isosorbide dinitrate in self-identified African-American patients

Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

{{recommendationsA.Title}}

{{recommendationsB.Title}}

1. For a patient with Stage C HF, reduced ejection fraction, and no renal impairment, which of the following classes of medication should initially be considered?

2. Which of the following is the most important next consideration in the management of this patient's heart failure? Case Study

3. What is the next consideration for this patient? Case Study

4. In which patients is the combination of hydralazine and isosorbide dinitrate recommended per current heart failure guidelines?

5. Upon initiating beta-blocker therapy in patients with heart failure the following may be expected:

6. Which of the following should be considered in patients with heart failure and preserved ejection fraction (HFpEF)?

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Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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{{recommendationsA.Title}}

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1. For a patient with Stage C HF, reduced ejection fraction, and no renal impairment, which of the following classes of medication should initially be considered?

2. Which of the following is the most important next consideration in the management of this patient's heart failure? Case Study

3. What is the next consideration for this patient? Case Study

4. In which patients is the combination of hydralazine and isosorbide dinitrate recommended per current heart failure guidelines?

5. Upon initiating beta-blocker therapy in patients with heart failure the following may be expected:

6. Which of the following should be considered in patients with heart failure and preserved ejection fraction (HFpEF)?

« Return to Activity

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