A 76-year-old man with CFS 4 and new heart failure (LVEF 30%) is on Bisoprolol 2.5 mg. He reports fatigue and cold extremities. HR 58, BP 108/64. NYHA...

Question

A 76-year-old man with CFS 4 and new heart failure (LVEF 30%) is on Bisoprolol 2.5 mg. He reports fatigue and cold extremities. HR 58, BP 108/64. NYHA II. Should Bisoprolol continue?

Accepted Answer

Continue - mild fatigue and cold extremities are common initial side effects that often improve; mortality benefit outweighs these symptoms unless significantly symptomatic

Answer

Stop - HR and BP too low

Answer

Increase to 10 mg immediately

Answer

Switch to Verapamil

Answer

Add Adrenaline

uk-dgm MCQ (SBA): Beta-Blocker Persistence in Heart Failure

A 76-year-old man with CFS 4 and new heart failure (LVEF 30%) is on Bisoprolol 2.5 mg. He reports fatigue and cold extremities. HR 58, BP 108/64. NYHA II. Should Bisoprolol continue?