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Q J Med 2002; 95: 55-56
© 2002 Association of Physicians

Correspondence

Can beta blockers be safely initiated at home in patients with heart failure?

D.S. Wald, R.S. More and M. Martin

Department of Cardiology, St. Mary's Hospital, Portsmouth

L. Hughes and C.J. Reid

Department of Cardiology, St. Richards Hospital, Chichester

Sir,

Beta-blockers reduce mortality and morbidity in chronic heart failure.1,2 Concerns over syncope secondary to hypotension or bradycardia, and acute deterioration in heart failure symptoms on initiating such therapy, have lead to recommendations that first doses be given over several hours of medical supervision and monitoring, but evidence for the need for this practice is lacking.3 Whether beta blocker therapy can be safely introduced at home in . . . [Full Text of this Article]

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