Would you add voclosporin to mycophenolate for refractory proteinuria in a patient with low EF?

There are two major potential concerns in a lupus nephritis patient with systolic dysfunction and a left ventricular ejection fraction (LVEF) of only 30%:

• QTc prolongation potential worsening leading to acute cardiac death
• Exacerbation of hypertension leading to worse LVEF and CHF

However, with prop...