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Heart failure beta-blocker choice — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHeart failure beta-blocker choiceGPhC CRA

A discharge prescription for a patient with heart failure with reduced ejection fraction includes ramipril and furosemide. The cardiology letter asks the GP to add an evidence-based beta-blocker when clinically stable. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Bisoprolol

Bisoprolol is one of the beta-blockers used in heart failure with reduced ejection fraction when initiated and titrated carefully. Atenolol and propranolol are not preferred heart-failure beta-blockers. Sotalol and labetalol have different indications and are not the usual evidence-based option for this scenario.

Reference: BNF; NICE CKS