Did Beta Blockers Get a Bad Rap?
Doctors have been taught for many years that beta blockers are bad for people with heart failure. Is it true? A famous clinic trial called COPERNICUS followed about 2,200 patients with severe heart failure.
They all got the standard treatment for heart failure, which included ACE inhibitors, digitalis, and diuretics. Then they were randomly assigned to get either a placebo, or a drug called carvedilol.
There was a 35% increase in survival rates among those who received carbedilol over the placebo. Patients who received the beta blocker had no more side effects than those who got a placebo!
Since then, two other drugs have received similar results in clinical trials. Those drugs are bisoprolol and metoprolol.
Despite the fact that there's remarkable evidence that shows that beta blockers are extremely beneficial in the treatment of heart failure, too many doctors are still prejudiced against them because of the long history of distrust of their ability to treat heart failure.
3-in-1 Reference Book About Beta Blockers
Beta Blockers - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References
Amazon Price: $28.95 (as of 09/05/2008)
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This is what doctors and med students use to learn everything about Beta Blockers, so why shouldn't you have access to the same information?
Release Date: 12/31/1969
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Why Aren't Heart Failure Patients Getting Beta Blockers?
In fact, the proof is pretty much the best that proof can be when it comes to the medical community. But doctors just aren't rushing to put patients on beta blockers the way you might think they would be in the face of such proof.
If you're a patient who's dealing with heart failure, it's probably a good idea for you to talk to your doctor about the possibility of using beta blockers in your treatment. If you wait around for your doctor to decide on his own that beta blockers are safe and effective, it might be too late.
Not all heart failure patients should be prescribed beta blockers. People with asthma or very low blood pressure might not do well on beta blockers. But if your doctor refuses to put you on them, you deserve an accurate explanation as to why they aren't right for you specifically.
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What If Your Doctor Says No to Beta Blockers?
This is pretty common among doctors. Your doctor may tell you that the data about their use for heart failure is still inconclusive, or that it's widely known that beta blockers are dangerous in the case of heart failure.
But don't let this dissuade you. You should continue to insist that your doctor do further research into the safety and efficacy of beta blockers for heart failure. You don't have to pressure your doctor to prescribe them against his better judgment.
He's still trying to act in your best interests. But if your doctor refuses to budge on the issue and won't tell you why, you might consider getting a second opinion. Long-held beliefs about heart health in the medical community are often hard to break.
When doctors receive specific training about a particular fact, it can be very difficult to persuade them that their belief is incorrect. This is something you'll have to realize, and it may mean you have to find another doctor if you can't get yours to budge.
Some doctors are just more resistant to change than others. So be prepared to at least get a second opinion if you can't get your doctor to come around. Remember, he's probably not being difficult. He just thinks he's doing the right thing.
Worried About Heart Diseases?
Find Out the Past and Current Data About Beta Blocker Clinical Trials
Beta-Blockers in Clinical Practice
Amazon Price: $185.00 (as of 09/05/2008)
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"Second edition of a reference on the historical and current applications of beta-blockers in clinical cardiology. Expanded topics include beta receptors, coronary risk, and primary prevention."
Release Date: 12/31/1969
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