Which is the most appropriate initial treatment for Heart failure with reduced ejection fraction?

Answer and explanation

Correct answer: D. An ACE inhibitor with a beta-blocker

  1. Step 1: Heart failure with reduced ejection fraction is treated with an ACE inhibitor with a beta-blocker.
Answer
An ACE inhibitor with a beta-blocker.
Why not the others: 'Calcium channel blocker verapamil': it is avoided in reduced ejection fraction. 'Non-steroidal anti-inflammatory drug': it worsens fluid retention. 'Oral antibiotics': no infection is the cause.

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