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Author8 Posts
  #1

A 63 year old man presents to the emergency department with precordial chest pain. He states that the pain is often precipitated by stress or exertion and is generally relieved quickly by rest and/or nitrates. On examination, there is ECG evidence of ischaemia during stress testing. Angiography demonstrates the narrowing of several major heart vessels. Which of the following would be the most likely to worsen the patients angina?
A. Acebutol
B. Atenolol
C. Metoprolol
D. Nandolol
E. Propanolol


  #2

A. acebutol(intrensic sympathatic activity)

  #3

Kool. Which textbook did you get that information from. I'd really appreciate it if you could guide me to a good text.Thanks..


  #4

A. is correct Try Kaplan Pharm..its given in Kaplan...just a side note Pindolol also has ISA...so also avoid that in Anginasmiling face

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #5

Hey...to add to the list (someone else posted this in another Qs) B-blockers with ISA: Acebutolol Pindolol Penbutolol Carteolol Oxyprenolol

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #6

http://www.prep4usmle.com/forum/thread/28137

___________________
If you think you can You can! If you think you cant you are right again!!

  #7

Thanks MSYAMP...thats the thread where I got the info from!

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #8

Some of these are kind of new. So for beta blocks with ISA remember PAPCO

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Smell the coffee! "Is That an Osler move??"









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