heart failure question

I know the drugs that decrease mortality in heart failure (systolic), but are we supposed to put patients on all of them? If the b-blocker is controlling their BP well and they are not complaining of symptoms like swelling and SOB, should I still add on the ACE and spironolactone at low doses because they decrease mortality as well? I have been told yes and no so I'm confused???? huh, thanks-
Source: Student Doctor Network Forums - Category: Universities & Medical Training Authors: Tags: Family Medicine Source Type: forums