Patients with a history of heart failure often get this history from chronic hypertension. Chronic hypertension leads to a condition called hypertrophic heart disease, or hypertrophic cardiomyopathy. This means that the heart muscle gets bigger, allowing less room for it to fill with blood. If these patients take beta blockers, such as metoprolol, it will benefit them because the heart will not overwork and grow in size. However, if a patient has pulmonary edema, how could the beta blocker make this patient worse?

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