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Medicine

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Cardiology

Question
17 out of 24
 

All are true about starting of B-Blocker therapy in a case of CHF except (AIIMS Nov 2010)


A They should be started with optimum doses
B They should be gradually increased over weeks.
C Special precautions should be taken in cases of NYHA class III and IV
D Carvedilol and Metoprolol are the preferred drugs.

Ans. A

They should be started with optimum doses

Benefits: of using beta blockers in CHF (AIIMS May 2011, AIPG 2009)

1. Control tachycardia and effect of high catecholamine level

2. Three beta blockers are recommended for CHF: Bisoprolol, carvedilol and metoprolol

3. Start with the lowest dose and long term use with gradual dose increment may prolong survival

4. Beneficial effect on remodeling

5. Decreasing risk of sudden cardiac death

Cardiology Flashcard List

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