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
All drugs decrease the moality in hea failure except: 
Select and explain. 
A. Metoprolol, B. Enalapril, C. Telmisaan, D. Digoxin
D: Digoxin
Answer: D: Digoxin 
Explanation: 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