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Age and Ageing 2002; 31: 23-28
© 2002, British Geriatrics Society


Reviews

ß-blockers in left ventricular systolic dysfunction—from evidence to practice

Syamasis Bandyopadhyay and M. Sinead O'Mahony

University Department of Geriatric Medicine, Llandough Hospital, Penlan Road, Penarth, Vale of Glamorgan CF64 2XX, UK

Five percent of all hospital medical admissions are patients with heart failure. The incidence is about one new case per 1000 of the general population per year, increasing to >10 per 1000 in those aged >=85 years. Although the evidence that ß-blockers reduce mortality by about 36% when added to angiotensin-converting enzyme inhibitors is overwhelming, clinicians are still reluctant to use ß-blockers in heart failure, especially in older patients. Here, we examine the evidence for the use of ß-blockers in heart failure in older people and explore the practicalities of their use.

Keywords: ß-blockers, heart failure


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