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    Quiz: 2017 ACC/AHA/HFSA Update to 2013 HF Guidelines

     

    The correct answer is: B. <130/80 mmHg

    In the 2017 focused update, the ACC/AHA/HFSA newly recommended that the optimal blood pressure for the prevention of HF in patients at increased CV risk (age >75 years, established vascular disease, chronic renal disease, or a Framingham Risk Score >15%), should be 130/80 mm Hg. Targeting systolic blood pressure in patients with increased CV risk represents a new strategy for the prevention of HF. It is based on new RCT data suggesting that controlling systolic blood pressure to <120 mmHg was linked to significantly decreased HF and decreased CV death overall.2 Because blood pressure measured in a clinical setting is usually 5 to 10 mmHg higher compared to a research setting, the recommendation is to target blood pressure to <130/80 mmHg in clinical practice.1

     

    3. Which of the following patients should not receive an angiotensin receptor neprilysin inhibitor (ARNI)?

    A. A patient who is already on an ACE-I

    B. A patient with a history of angioedema

    C. A patient with HFrEF NYHA class II that remains symptomatic despite treatment with enalapril

    D. Neither A or B

     

    Please click here for answer and discussion.

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