A 64-Year-Old Man with Diet-Controlled Type 2 Diabetes Mellitus, Ischemic

A 64-year-old man with diet-controlled type 2 diabetes mellitus, ischemic cardiomyopathy, and systolic heart failure comes to the physician for follow-up.  The patient has New York Heart Association functional class II symptoms and shows no signs of fluid overload.  His daily medications include furosemide, carvedilol, lisinopril, atorvastatin, and low-dose aspirin.
The patient's blood pressure is 155/90 mm Hg and pulse is 60/min.
His potassium level is 4.2 mEq/L and serum creatinine level is 0.9 mg/dL.
Adding losartan to this patient's current regimen is most likely to result in which of the following?

A) Higher risk for heart failure-associated hospital admission
B) Higher risk for renal failure
C) Lower risk for all-cause mortality
D) Lower risk for arrhythmia
E) Lower risk for hyperkalemia

Correct Answer:

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