Currently, no evidence exists on the effects of beta-receptor blocker (BRB) treatment in patients with unstable severe heart failure. When confronted with this specific patient category, clinical experience in our centre has consistently guided us to lower the dose or stop BRB therapy. To share this experience, we present three clinical case scenarios and discuss background literature motivating our approach in these patients.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528855PMC
http://dx.doi.org/10.1007/s12471-012-0366-7DOI Listing

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