β-Blocker Management in Acute Coronary Syndrome
Case: 58M, anterior STEMI → primary PCI. LVEF 55%. Started on metoprolol in-hospital.At 8-week follow-up: HR 54, lightheaded, no angina, BP controlled. Continue or taper? Oral beta blocker: Start early in-hospital: For ACS patients without contraindications, initiate oral β-blocker within 24 hours to reduce reinfarction and ventricular arrhythmias (Class I, Level A). IV before PPCI: […]