07-28-2007, 10:21 AM
thx darkhorse......so if ptt with EF of <40 then ACEI over BBs in DCM? otherwise BBs
HTN Rx trivial facts - quansar
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07-28-2007, 10:21 AM
thx darkhorse......so if ptt with EF of <40 then ACEI over BBs in DCM? otherwise BBs
07-28-2007, 10:23 AM
thats correct...that is my understanding ronaldo ..
07-28-2007, 10:24 AM
thx darkhorse...makes perfect sense as usual:
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07-28-2007, 10:26 AM
ok so we got that down now, DOC depends on presentation
thx darky n good to see ya
07-28-2007, 10:30 AM
ronaldo,darkhorse
no preference of ACE-I and beta blockers in a patient with CHF, they should both be started and there is also no priority acc to te EF. a patient wit CHF whatever the EF is both of them should be started. the issue is that startin a beta blocker in a CHF patient may be problematic and you cannot start a beta blocker if the CHF is not controlled and the patient is still symptomatic or hyopensive. so to start a beta blocker in a CHF patient he/should be dry ( controlled CHF with no minimal pulm edema) and her blood pressure should be stable, you cannot start if the patient is hypotensive or becmes symptomatic hypotensive after a beta blocker.
07-28-2007, 10:31 AM
hope it is more clear.
07-28-2007, 11:48 AM
just saw this post popped up.
thanks darkhorse, cemmsk and renaldo for the discussion. hope everybody is more clear now with the choices.. |
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