Abstract

A 60-year-old man with history of myocardial infarction 2 years ago, hyperlipidemia, hypertension, and a 30 pack-year history of smoking presents to the emergency department with complaint of progressive shortness of breath and lower extremity edema for 6 weeks. He is admitted to the hospital and subsequent workup reveals diagnosis of newonset systolic heart failure. Beta-blocker therapy is indicated, but how soon should beta-blocker therapy be started in this patient?

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