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