http://www.kevinmd.com/blog/2009/10/underusing-aldosterone-antagonists-congestive-heart-failure-patients.html Tue, 14 Feb 2012 23:00:00 +0000 hourly 1 http://www.kevinmd.com/blog/2009/10/underusing-aldosterone-antagonists-congestive-heart-failure-patients.html#comment-115219 sonnet Sun, 25 Oct 2009 17:00:05 +0000 http://www.kevinmd.com/blog/?p=40819#comment-115219 From the recent history, the recommendations of Beta blockers in heart failure. It is still under used in Egypt. I remember, even till now, some doctors hesitate while prescribing beta blockers in heart failure. I am speaking about my experience in a developing countries. Some does not know the strategy of adding beta blockers. They add large dose in inappropriate NYHA class. Then, patients deteriorate. Theere is lack the knowledge and experience among physicians. The same regards the use of statins in IHD but due to economics mainly. Also, the changes of guidelines in both CPR and Prophylaxis against infective guidelines were not well followed. Mostly due to worldwide controversy to both and lack of some awareness of the details is a factor. From the recent history, the recommendations of Beta blockers in heart failure. It is still under used in Egypt. I remember, even till now, some doctors hesitate while prescribing beta blockers in heart failure. I am speaking about my experience in a developing countries. Some does not know the strategy of adding beta blockers. They add large dose in inappropriate NYHA class. Then, patients deteriorate. Theere is lack the knowledge and experience among physicians. The same regards the use of statins in IHD but due to economics mainly. Also, the changes of guidelines in both CPR and Prophylaxis against infective guidelines were not well followed. Mostly due to worldwide controversy to both and lack of some awareness of the details is a factor.

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