Question

A 72-year-old man with chronic coronary disease had an MI 18 months ago, with a left ventricular ejection fraction (LVEF) of 58%, no angina, and controlled blood pressure. He remains on metoprolol. Per contemporary guidance, what should be considered now?

Accepted Answer

Reassess the indication and consider discontinuation if no angina, arrhythmia, or low EF.

Answer

Continue beta-blocker indefinitely to reduce MACE in all post-MI patients.

Answer

Stop beta-blocker now in all post-MI patients.

Answer

Switch to carvedilol to reduce mortality.

Answer

Add ivabradine to reduce MACE.

Practice question

A 72-year-old man with chronic coronary disease had an MI 18 months ago, with a left ventricular ejection fraction (LVEF) of 58%, no angina, and controlled blood pressure. He remains on metoprolol. Per contemporary guidance, what should be considered now?