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Would you consider opting for beta blocker withdrawal to improve exercise capacity in patients with heart failure with preserved ejection fraction and chronotropic incompetence?

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2 Answers
Mednet Member
Mednet Member
Cardiology · University of Nebraska Medical Center

The short version of my answer is Yes, however, I will provide more insight into this:

When considering beta-blocker withdrawal to improve exercise capacity in patients with HFpEF and chronotropic incompetence, the evidence and guidelines are nuanced. A prospective, randomized, controlled trial "Pre...

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Mednet Member
Mednet Member
Cardiology · ETSU Health Care

Yes

I have had patient feel better significantly after beta blocker withdrawal and unless absolutely necessary, I avoid beta blockers on patients with HFpEF.

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