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My son had a heart valve replacement and is taking 50 mg a day but complains that his heart is racing.

At this time, patients inappropriate for beta blocker therapy include those who have severe heart failure (functional class IV), those who require intravenous inotropic support, those who are hospitalized for decompensated heart failure and those who do not have systolic dysfunction.

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It was recently tested in patients with heart failure as part of the Beta Blocker Evaluation Survival Trial (BEST).

For the same reasons, the drug is also useful to assist individuals not prone to anxiety attacks but who must be able to function normally in extremely stressful situations, such as soldiers engaged in combat.

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There is persistent concern, however, among medical practitioners regarding this seemingly counterintuitive therapy.

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Angina Pectoris: In controlled clinical trials, metoprolol, administered 2 or 4 times daily, has been shown to be an effective antianginal agent, reducing the number of angina attacks and increasing exercise tolerance.

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