6th May 2025

Mr Tan, a 92-year-old man attends his heart failure follow up clinic for an annual review.

Mr Tan, a 92-year-old man attends his heart failure follow up clinic for an annual review. He has a past medical history of a triple cardiac bypass graft for STEMI, heart failure with reduced ejection fraction, hypertension, hypercholesterolaemia and type 2 diabetes mellitus. He tells you that he has just been started on a new medication due to his poor glycaemic control. review his regular medications as part of this review. 

Which of the following medications is contraindicated in heart failure?

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