An 86-year-old woman is hospitalized for acute decompensated heart failure. Medical history is significant for a stroke 4 years ago. Cardiac and pulmonary surgical risks are estimated to be high. What is the most appropriate next step in management for this patient?
a) Initiation of guideline-directed medical therapy for heart failure
b) Evaluation for mechanical circulatory support
c) Referral for cardiac catheterization and revascularization
d) Conservative management with diuretics and close monitoring
