Heart Failure And Cardiomyopathies Practice Test

A 63-year-old man with HFrEF (EF 20%) presents with acute dyspnea, pink frothy sputum, fatigue, and severe orthopnea. Exam: JVD, diffuse rales, S3, and 2+ edema. BP 182/104, HR 124, SpO2 82% on room air. Labs: BNP 2400 pg/mL; troponin negative. CXR shows bilateral alveolar edema. Echo shows EF 20% and no valvular stenosis. Which of the following is the most appropriate next step in management?

A 75-year-old man with HFrEF (EF 20%) presents with dyspnea, fatigue, and edema. Exam shows JVD, rales, S3. BP 118/70. Labs: BNP 2300 pg/mL; troponin negative. CXR shows pulmonary edema. Echo shows EF 20% with left bundle branch block on ECG and QRS 170 ms. After stabilization on guideline-directed therapy, which of the following is the most appropriate next step in management?