Since I reside in OR from the late spring through fall and
then move down to our AZ home for the winter I have cardiologists in both locations. I decided to send each of them a short note on the portals asking if they would support my PC recommendation on switching to prop anolol from metoprolol. my local cardiologist suported that, but my AZ cardiologist sent a short note back.
"Propanolol has not been shown to be safe in people who have ischemic cardiomyopsthies, so I am not confortable in him switching. If his physician wants to add a small dose of propanolol on top of the metoprolol, I would not have a problem with that. But his heart rate is already fairly slow, so I am not sure he would tolerate that."
Always good to get a 2nd opinion!
Jim@thankful