I am prescribed metoprolol even though my ejection volume was measured at 60% during the hospital stay, at 55% two years later when I reported an episode of chest pain.
I was once taking an ACE inhibitor for blood pressure control 30 years prior and went to the ER when my upper lip puffed out making me look like a duck. They told me this was angioedema, but at the time, no one thought the ACE inhibitor was the cause. Since then, ACE inhibitors are said to be the leading cause of patients going to the ER with angioedema.
I rather like my metoprolol. Combined with following the cardiac rehab instructions for 30 minutes vigorous walking each day, I am getting both reduced resting heart rate and lower blood pressure. I fall asleep at night much easier. On the other hand, I get sleepy mid afternoon and would take a nap if I didn't have to work. I also feel like the moving truck I once rented that had a governor on the motor in that I max out in my exertion for heavier activities than the fast walking.