Congestive Heart Failure

Question 1

Medical mx of HF?

Answer 1

ACEI/ARB

Diuretics (loop)

Low dose beta blocker- carvedilol, bisoprolol, nebivolol, titrate slowly

Add spironolactone or eplenerone
Add dig if in AF
Nitrates may improve some sx

Question 2

What beta blocker should not be used in HF?

Answer 2

Atenolol

Question 3

What needs to be monitored in HF medical mx?

Answer 3

BP, esp re postural hypotension
Renal function
Plasma K- high risk hyperkal