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Heart failure
A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.
A 79-year-old woman has breathlessness and ankle edema. Her LVEF is 58% with a stiff left ventricle and enlarged left atrium. She has hypertension and obesity. Which drug class reduces heart failure admissions in her condition?
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The answer is C: An SGLT2 inhibitor.
In heart failure with preserved ejection fraction, SGLT2 inhibitors reduce heart failure hospitalization. Diuretics treat congestion, and hypertension, AF and obesity should be managed. Digoxin and ivabradine have no role here.
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