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Medicine General 9da0b14a

In a patient with chronic congestive cardiac-failure, all of the following drugs prolong survival except :

A
Metoprolol
B
Carvedilol
C
Enalapril
D
Digoxin
High-Yield Explanation
Answer is D (Digoxin) `Digitalis does not improve survival in patients with hea failure and sinus rhythm.' It reduces symptoms of hea failure and need for hospitalization. ACE inhibitors (Corvedilol and enalapril) and Betablockers (Metaprolol) prolong life. `ACE inhibitors improve symptoms and prolong life' -- Oxford handbook 5th/122 ACE inhibitors.

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