Factors Influencing Internal Medicine Resident Beta-Blocker Discontinuation in Acute Decompensated Heart Failure.

ABSTRACT:

Background

Heart failure is one of the leading causes of hospital admissions in North America. Although guidelines support the continuation of beta blockers on admission, hemodynamic considerations and mechanistic reasoning may prompt beta blocker discontinuation even in the absence of contraindications. Resident physicians often face this dilemma and are an important group in which to evaluate this decision-making.

Methods

Internal medicine residents at two institutions were presented with two scenarios: 1) whether to continue outpatient metoprolol succinate for a patient without evidence of shock admitted with acute decompensated heart failure (ADHF) and 2) beta blocker selection during a patient's index presentation with heart failure.

Results

142 of 287 (49.5%) re

SUBMITTER: Boctor D 

PROVIDER: S-EPMC12572888 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature