HF

Question 1

Treatment

Answer 1

1. ACEi + BB (bisoprolol/ carvedilol)
2. ARB
3. Hydralazine + nitrate if ACEi/ ARB not tolerated

nitrate preferred in black

Question 2

BB for HF

Answer 2

bisoprolol
carvedilol
nebivolol

Question 3

If heart failure symptoms persist or worsen despite optimal first-line treatment

Answer 3

add an aldosterone antagonist
spironolactone/ eplerenone

Question 4

If symptoms persist despite optimal treatment

Answer 4

+ entresto

Question 5

How often should patients with heart failure weigh themselves?

Answer 5

• DAILY at same time
• Report any weight gain of 1.5-2kg (gained in 2 days) to
• GP or specialist (sign of oedema)

Question 6

When is ivabradine CI

Answer 6

HR less than 75bpm

Question 7

Chronic HF 1st line

Answer 7

1. BB
2. ACEi
3. Loop diuretic

If symptoms persist = ENTRESTO