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Heart Failure Guidelines.pdfPage 1

In HFrEF, three beta blockers reduce mortality: carvedilol, metoprolol succinate, and bisoprolol¹. Atenolol and metoprolol tartrate are not evidence-based.

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3Question¹Page 1

A 64-year-old man with HFrEF is ready to start a beta blocker. Which agent reduces mortality?

AAtenolol
BMetoprolol tartrate
CCarvedilol
DPropranolol

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Cardiology midterm

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Clinical vignette
1. A 58-year-old woman presents with crushing chest pain radiating to the jaw. ECG shows ST elevation in leads II, III and aVF. Which artery is most likely occluded?
- ALeft anterior descending
- BLeft circumflex
- CRight coronary
- DLeft main
Mechanism
2. Which mechanism best explains the mortality benefit of an ACE inhibitor in chronic heart failure?
- AReduced afterload and less cardiac remodeling
- BIncreased heart rate
- CDirect positive inotropy
- DIncreased sodium retention
Next best step
3. A hemodynamically stable patient develops new atrial fibrillation with rapid ventricular response. What is the next best step?
- AImmediate cardioversion
- BRate control with a beta blocker
- CAmiodarone infusion
- DEmergency pericardiocentesis

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