What is the recommended procedure for people with chronic kidney disease who have heart failure with reduced ejection fraction?
For people who have heart failure with reduced ejection fraction and chronic kidney disease with an eGFR of 30 ml/min/1.73 m2 or above, the specialist heart failure MDT should consider offering the treatment outlined in section 6.2.7 and if the person's eGFR is 45 ml/min/1.73 m2 or below, consider lower doses and/or slower titration of dose of ACE inhibitors or ARBs, mineralcorticoid receptor antagonists and monitor the response to titration of medicines closely, taking into account the increased risk of hyperkalaemia. [2018]