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A 67-year-old man with heart failure with reduced ejection fraction (EF 30%) presents for routine follow-up. He is currently on lisinopril, carvedilol, and furosemide. Vitals: BP 118/72 mmHg, HR 68 bpm. Labs show K+ 4.2 mEq/L and Cr 1.1 mg/dL. He reports stable symptoms but asks about additional treatments. Which medication would provide additional mortality benefit?
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