malinda
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A 68-year-old male presents with complaints of chronic fatigue, exertional and nocturnal dyspnea, orthopnea,
and a chronic nonproductive cough. On examination, respiratory wheezing and rhonchi are noted. Cardiac
examination reveals a diminished first heart sound and an S3 gallop. The patient indicates that he was recently
treated for hypertension and vasospastic angina. Based on his initial presentation, which of the following agents
was most likely prescribed?
A. Amlodipine
B. Captopril
C. Furosemide
D. Hydralazine
E. Verapamil
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| anjushree
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he was treated with verapamil for vasoplastic angina ,hypertension-----which dec contractility,&CO----producing this sym of HF
ANS----E
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| skyhigh
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amlodipine or verapamil?
since amlodipine has very few side effects, I would go for verapamil.
Edited by skyhigh on 01/23/06 - 04:51 PM
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| malinda
Forum Guru
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verapemil correct..My q is verepemil acts mainly on heart and nefidepine on vessels.How is it used for HTN and angina then?why not amlodipine which decreased PVR in coronary and arterioles?
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| anjushree
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drug which act on ly or mainly on arterioles ----dec PVR but cause reflex tacycardia---worsening angina
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