6th May 2025

An 84-year-old man of Afro-Caribbean origin presents to his GP.

An 84-year-old man of Afro-Caribbean origin presents to his GP. He has a known diagnosis of heart failure and has been started on beta-blockers and ACE-inhibitors. He reports good concordance with both medications and these have been up-titrated to the maximum dosage. However, he remains significantly short of breath at rest. Spironolactone was trialled for him but this was stopped as he developed significant hyperkalaemia.

Which of the following medications should be added to his current heart failure regime?

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