1st April 2022

A 67-year-old male is admitted with chest pain

A 67-year-old male is admitted with chest pain. Both cardiac enzymes and serial ECGs were abnormal. He was started on acute coronary syndrome treatment protocol for a non-ST elevation myocardial infarction (NSTEMI). His chest pain settled, and he recovered well. He had no ongoing symptoms. An echocardiography (ECHO) was requested, which revealed reduced ejection fraction and abnormal left ventricular wall movement. 

Which of the following drugs is first-line for prevention of symptomatic heart failure in an individual with asymptomatic left ventricular dysfunction?

Select the SINGLE most appropriate option from the list below. Select ONE option only.