This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
In congestive cardiac failure all are used except 
Select and explain. 
A. Spironlactone, B. Nitrates, C. Nesiritide, D. Trimetazidine
D: Trimetazidine
Answer: D: Trimetazidine 
Explanation: None