Question 458 · LEK · Chronic heart failure

In a 56-year-old patient with heart failure, left ventricular ejection fraction (LVEF) of 55%, diabetes mellitus type 2 treated with metformin and proteinuria of 0.9 g/L detected on urinalysis it is recommended to add:

  1. A. pioglitazone.
  2. B. saxagliptin.
  3. C. insulin glargine.
  4. D. exenatide.
  5. E. empagliflozin.
Hint

Look for a drug class with proven benefit in heart failure across the whole LVEF spectrum and renoprotection in diabetic kidney disease.

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