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Coumadin is bad enough and that is all I take for my artificial valve.
Atenolol, Nadolol, they are not lipophilic and apparently do not produce CNS side-effects but they lower too much my blood pressure and didn't see a lot of difference between the side-effects from the water solube and lipophilic ones.
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Monitor frequency of prescription refills to determine compliance.
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The Metoprolol in Dilated Cardiomyopathy (MDC) trial was a multicenter, randomized, controlled trial designed to study the impact of metoprolol tartrate on a combined end point of death plus the need for heart transplantation in patients with idiopathic heart failure and NYHA class II and class III symptoms.
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RWI pertinent to this guideline are disclosed in Appendixes 1 and 2, respectively.
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