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Tips and tricks on outpatient initiation and uptitration of beta-blockade in heart failure

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Abstract

β-blockade has a therapeutic role across the continuum of patients with heart failure (HF), with a demonstrated mortality benefit in stage II and III HF. Concerns regarding initiation and uptitration linger as patients with resting bradycardia, pulmonary, or vascular disease are often unnecessarily excluded from receiving therapy. We will review the risk data on β-blockade and offer therapeutic strategies to help overcome residual barriers to the initiation and uptitration of this important therapy in patients with HF.

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  1. New Jersey Medical School, University of Medicine and Dentistry of New Jersey, 185 South Orange Avenue, MSB I-536, Newark, NJ, 07103, USA

    Marc Klapholz MD

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  1. Steve Tsai MD
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Tsai, S., Klapholz, M. Tips and tricks on outpatient initiation and uptitration of beta-blockade in heart failure. Curr Heart Fail Rep 4, 110–116 (2007). https://doi.org/10.1007/s11897-007-0009-2

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