Don't Be Surprised if Patients With a Previous MI Are NOT on a Beta-Blocker

You'll hear debate about how long to use a beta-blocker post-MI.

Most patients get a beta-blocker for up to 3 years post-MI to reduce recurrent CV events...or indefinitely if they have systolic heart failure, now known as heart failure with reduced ejection fraction (HFrEF).

But the 3-year duration is based on studies from the 1980s...before routine use of stents, dual antiplatelet therapy, statins, etc.

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