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Metoprolol spironolactone plus 30 cases of congestive heart failure

CHF ,[link widoczny dla zalogowanych], including ACE inhibitors in the treatment of patients based on the joint use of spironolactone and metoprolol ,[link widoczny dla zalogowanych], inhibit aldosterone secretion,[link widoczny dla zalogowanych], myocardial fibrosis, inhibition of myocardial remodeling , and improve the therapeutic effect of c stare , no obvious side effects. CHF digitalis -dependent patients is very favorable. With the improvement of heart function in patients ,[link widoczny dla zalogowanych], can digitalis positive inotropic drugs, from the dominant ,[link widoczny dla zalogowanych], preferred drug status, reduced adjuvant . Should start small dose should be decreasing if the withdrawal amount , not a sudden withdrawal. Long-term application of attention to its side effects, such as the feminization of male breast , hairy psychosis , especially when combined with ACE inhibitors to observe changes in serum potassium and renal function .