PharmacyCert

SPLE Saudi Pharmacist Licensure Examination

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1. A 65-year-old male with a history of heart failure with reduced ejection fraction (HFrEF, EF 32%) and Type 2 Diabetes Mellitus presents for a follow-up. He is currently taking Lisinopril 20 mg daily, Metoprolol Succinate 100 mg daily, and Metformin 1000 mg twice daily. His blood pressure is 128/78 mmHg, heart rate is 68 bpm, and his latest NT-proBNP is elevated. Which of the following additions to his regimen is most appropriate to further reduce the risk of cardiovascular death and heart failure hospitalization according to current clinical guidelines?

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