Heart Failure: The Daily PANCE Blueprint
Which of the following is not a beta blocker that reduces mortality in patients with congestive heart failure?
A. Carvedilol
B. Atenolol
C. Bisoprolol
D. Metoprolol succinate
E. Both C and D
Answer and topic summary
The answer is B. Atenolol
Congestive heart failure is a condition with certain signs and symptoms caused by the inability of the heart to eject blood or fill up with blood. There are many different types and classifications. Etiologies include coronary artery disease, hypertension, diabetes, alcohol usage, etc. Clinical features include fatigue, dyspnea, cough, nocturia, orthopnea, bilateral rales, pitting edema, JVD, etc. Every patient with possible new-onset CHF deserves an echocardiogram. Guideline direct medical therapy includes beta blockers (carvedilol, bisoprolol, metoprolol succinate), ACEI / ARB / or ARNI, MRA like spironolactone, and SGLT inhibitors. Diuretics like foresemide can be added.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Cardiology ⇒
Also covered as part of the Emergency Medicine EOR, Internal Medicine EOR, and Family Medicine EOR topic lists
