What a new study suggests?

• Suggest beta-blockers do NOT benefit pts with preserve ejection fraction who got a stent or had bypass surgery after a heart attack
• Suggest that taking bisoprolol or metoprolol succinate for 3.5 years doesn't reduce risk of death, heart attack, or hospitalization

Still recommended drugs in heart failure

• Bisoprolol, carvedilol, metoprolol succinate

Bothersome side effects about BB

• Common: fatigue, erectile dysfunction
• More serious: SOB, slow heart rate, light-headedness

How to stop beta-blockers

• Taper down over 1-3 weeks...to possible decrease risk of angina