<prompt> Drug used in CHF for relief of congestive symptoms and restoration of cardiac performance but does not have an inotropic action is -DigoxinDobutamineAmrinoneNebivolol  <response>: Ans. is d i.e., Nebivolol There are two distinct goals of drug therapy in CHF:a Relief of congestivelow output symptoms and restoration of cardiac performance. This can be achieved by: Inotropic drugs --Digoxin, dobutamine dopamine, amrinonemilrinone Diuretics--Furosemide, thiazides RAS inhibitors--ACE inhibitorsARBs Vasodilators--hydralazine, nitrate, nitroprusside b blocker--Metoprolol, bisoprolol, carvedilol, Nebivololb Arrestreversal of disease progression and prolongation of survival, possible with: ACE inhibitors ARBs, b blockers Aldosterone antagonist--Spironolactone, eplerenone 