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#230 Kittleson Rules Acute Heart Failure

The Curbsiders Internal Medicine Podcast

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What Is the Cause of Death in a Hospitalized Patient?

There are observational studies to show that if you stop the beta blocker in the hospital in short term mortality readmissions are higher. If there's obvious things like the patient has symptomatic hypotension significant bradycardia heart rate less than 50 then I would get rid of it. But really if you look at the baseline characteristics and some of these they're actually the same. Stopping the beta blockers patients did worse could be an element of therapeutic inertia like when you get to clinic. They're not on and on and I'm not going to really restart they probably had a good reason for stopping in the hospital. So with your permission I'd like to take us back to the admission orders.

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