Fast Five Quiz: Heart Failure With Reduced Ejection Fraction (HFrEF) Treatment Optimization

Alanna Morris, MD


September 09, 2021

Initiation of an ARNI/ACEI/ARB is frequently better tolerated when the patient is still congested ("wet"); conversely, beta-blockers are often better tolerated when the patient is less congested, with an adequate resting heart rate. ACC guidelines recommend that only evidence-based beta-blockers (carvedilol, bisoprolol, and sustained-release metoprolol succinate) should be used in patients with HFrEF.

Learn more about the treatment of HFrEF.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.