This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hematology and CVS, Subject name: Pharmacology
[{'content': 'All drugs decrease the moality in hea failure except: \nSelect and explain. \nA. Metoprolol, B. Enalapril, C. Telmisaan, D. Digoxin', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Digoxin is used in acute CHF as well as maintenance therapy but do not retard cardiac remodelling or prolong survival in CHF patients Drugs that decrease the cardiac remodeling in a patient with CHF decrease the moality. They are: Beta blockers (metoprolol, bisoprolol) ACE inhibitors (enalapril) ARB (telmisaan) Aldosterone antagonist (spironolactone) Note Telmisaan is an ARB which has PPAR gamma agonist activity', 'role': 'assistant'}]