Poor tolerance of beta-blockers by elderly patients with heart failure
Satoshi Yanagisawa, Noriyuki Suzuki, Toshikazu Tanaka
Department of Cardiology, Okazaki City Hospital, Aichi, Japan
Abstract: Despite the well-understood importance of beta-blocker therapy in heart failure, it is sometimes not possible to use beta-blockers in elderly patients due to poor tolerance. In this report, we describe the case of an 83-year-old patient with severe systolic heart failure complicated by aortic valve stenosis and atrial fibrillation. A simple therapeutic approach involving discontinuation of beta-blockers remarkably alleviated the symptoms such as left ventricular ejection fraction, and improved the chest radiography and laboratory findings; further, atrial fibrillation converted to sinus rhythm. It is important to carefully administer beta-blocker therapy to elderly patients with heart failure, especially after considering cardiac output.
Keywords: elderly, octogenarians, beta-blockers, heart failure
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