For CHFrEF, do you titrate ACE-I (or ARB) to effective dose as in trials THEN start BB or do you start both? I’ve seen both added simultaneously and then a lot of times pt’s BP cannot tolerate effective dosing for either drug thus potentially losing mort benefit? #cardiotwitter
Replying to @anahas99
typical uptitrate the ACEI/ARB and give a placebo dose of toprol or coreg
5:12 PM - 15 May 2018
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