A 66-year-old with chronic coronary disease asks if long-term beta-blocker therapy will improve survival after an MI 3 years ago; EF is 58%, no angina...

Question

A 66-year-old with chronic coronary disease asks if long-term beta-blocker therapy will improve survival after an MI 3 years ago; EF is 58%, no angina. What do guidelines suggest?

Accepted Answer

Long-term beta blockers are not recommended solely to improve outcomes beyond 1 year in stable patients with preserved EF and no angina

Answer

Continue indefinitely for mortality benefit in all post-MI patients

Answer

Stop immediately to avoid side effects

Answer

Switch to non-dihydropyridine CCBs for outcome benefit

Answer

Use nitrates for outcome improvement

us-abim MCQ (SBA): Chronic Coronary Disease-Beta Blockers

A 66-year-old with chronic coronary disease asks if long-term beta-blocker therapy will improve survival after an MI 3 years ago; EF is 58%, no angina. What do guidelines suggest?