Question

A 58-year-old had an NSTEMI 2 years ago. LVEF is 60%, he has no angina, and blood pressure is controlled. He remains on metoprolol tartrate 50 mg twice daily. What is the best beta-blocker strategy now?

Accepted Answer

Discontinue beta-blocker if no other indication

Answer

Continue indefinitely because of prior MI

Answer

Switch to carvedilol for additional mortality benefit

Answer

Increase dose to target heart rate <60 bpm

Answer

Add ivabradine

Practice question

A 58-year-old had an NSTEMI 2 years ago. LVEF is 60%, he has no angina, and blood pressure is controlled. He remains on metoprolol tartrate 50 mg twice daily. What is the best beta-blocker strategy now?