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Antianginal Drugs Garrett J. Gross
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Myocardial Preconditioning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
" Decrease in the effect of a drug when administered in a long-acting form" NITRATES TOLERANCE Develops with all nitrates Is dose-dependent Disappears in 24 h. after stopping the drug Tolerance can be avoided -   Using the least effective dose -  Creating discontinuous plasma levels
 
NITRATES CONTRAINDICATIONS Previous hypersensitivity Hypotension ( < 80 mmHg) AMI with low ventricular filling pressure  1 st  trimester of pregnancy WITH CAUTION: ,[object Object],[object Object],[object Object]
 
ß-ADRENERGIC BLOCKERS CONTRAINDICATIONS Hypotension: BP < 100 mmHg Bradycardia: HR < 50 bpm Chronic bronchitis, ASTHMA Severe chronic renal insufficiency
 
 
Reasons for Using Nitrates and Beta Blockers in Combination in Angina ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 

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