In patients hospitalized with systolic CHF, those that had beta blockers initiated during their hospital stay were much less likely to die (adjusted HR 0.77, CI 0.68-0.87) or be readmitted within a year (adjusted HR 0.89, CI 0.80-0.99) than those who did not have beta blockers initiated. There was no benefit found for those with preserved systolic function (abstract). In patients not already on a beta-blocker, they should be initiated on one (unless contraindicated), especially those with systolic dysfunction.
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