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A 67-year-old man with heart failure with reduced ejection fraction (EF 30%) presents for follow-up. Current medications include lisinopril, carvedilol, and furosemide. BP 118/72 mmHg, HR 68 bpm. Labs: K+ 4.2 mEq/L, Cr 1.1 mg/dL. Which medication would most likely provide additional mortality benefit?
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