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Antiarrhythmic agents are typically only given to individuals with life-threatening arrhythmias after a myocardial infarction and not to suppress the ventricular ectopy that is often seen after a myocardial infarction. [57] [58] [59] Cardiac rehabilitation aims to optimize function and quality of life in those affected by a heart disease. This ...
Cardio selective beta blocker (β 1 blockers) can be prescribed at the least possible dose to those with mild to moderate respiratory symptoms. [ 55 ] [ 56 ] β2-agonists can somewhat mitigate β-blocker-induced bronchospasm where it exerts greater efficacy on reversing selective β-blocker-induced bronchospasm than the nonselective β-blocker ...
Contraindicated immediately after myocardial infarction; Prevent paroxysmal atrial fibrillation; Treat recurrent tachycardia associated with abnormal conduction pathways, such as Wolff–Parkinson–White syndrome; II Beta-blockers Atenolol; Bisoprolol; Carvedilol; Esmolol; Metoprolol; Nebivolol; Propranolol; Timolol; Beta blocker
Metoprolol is a beta blocker, or an antagonist of the β-adrenergic receptors. It is specifically a selective antagonist of the β 1-adrenergic receptor and has no intrinsic sympathomimetic activity. [37] Metoprolol exerts its effects by blocking the action of certain neurotransmitters, specifically adrenaline and noradrenaline.
Myocardial infarction (heart attack) Since beta 1 receptor are mainly located in the heart, most beta 1 blockers take abnormalities associated with the heart as the target. [5] It treats medical conditions like hypertension, arrhythmias, heart failure, chest pain, myocardial infarction.
Myocardial infarction; Other names: Acute myocardial infarction (AMI), heart attack: A myocardial infarction occurs when an atherosclerotic plaque slowly builds up in the inner lining of a coronary artery and then suddenly ruptures, causing catastrophic thrombus formation, totally occluding the artery and preventing blood flow downstream to the heart muscle.
The treatment with β-blockers reduces the incidence of sudden heart failure when the patient has already had a myocardial infarction. The reason is probably because of their anti-arrhythmic effects and also anti-ischemic effects. [10] A β-blocker therapy is also useful in myocardial infarction, independent to heart failure.
The International Studies of Infarct Survival (ISIS) were four randomized controlled trials of several drugs for treating suspected acute myocardial infarction ("heart attack"). More than 134,000 patients from over 20 countries took part in four large simple trials between 1981 and 1993, coordinated from Oxford, England. [1] [2]
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