MDcooper wrote:
I need a quick pointer on the role of beta blocker in CHF treatment.Is it controversial or this is a common regimen used?
You always start ACEI first, then beta-blocker can be added. That is the standard treatment guidlines.
I hope I can help. Go low and slow on beta-blocker when CHF is stage three !
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| MAZI
Forum Elite
Topics: 8
Posts: 245
|
HI
you know that one of the defence mechanism for heart failure is catecholamin release and then tachycardia, is one of the sign of heart failure , if you order B BLOCKER in the patint with more sever heart failure ( function class 3 and 4 ), you disruped this mechanism, in the mild heart failure , B blocker is useful because it ,decrease the work load of heart via decrease heart beat and increase relaxation of left ventricle
|
| michaelrowley
Forum Newbie
Topics: 3
Posts: 18
|
at what point would you add spironolactone?
|
| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
michaelrowley wrote:
at what point would you add spironolactone?
Spironalactone is anti-aldosterone, so you add spironalactone after normal regiment fails !
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
|
| |
| | | | | 
