5/10/2011

· heart disease treating patients needing attention of points

1. The long-term use of propranolol cad, not sudden withdrawal, otherwise it will cause rebound, aggravate angina even happen myocardial infarction.

2. Accompanied by hypotension, bradycardia, lung, chronic bronchitis, cardiac insufficiency, asthma cad, jiyong or disable propranolol. Because both fall blood pressure and propranolol anti-arrhythmic role, is suitable only for hypertension or tachycardia patient of coronary heart disease.

3. The patient of coronary heart disease accompanied hepatopathy together, avoid to Ann, experience heart Schwartz, result flat pockets, etc., thiazide?

4. Avoid upright position when anginal attack with medicine. Illness onset, immediately under the tongue with 1 slice nitroglycerin, or chew the sublingual containing, including medicine cannot stand, lest suddenly syncope, should sit by and fall in wide chair.

5. Tachycardia person avoid attentively treasure; The live not taken bradycardia heart pills.

6. Avoid drug cool casual, some patients heal subtract swiftly without authorization, added amount, the more haste, less speed.

7. Accompanied by glaucoma patients, careful or jiyong nitroglycerin.

8. Avoid casual combination cool. Clinically found, propranolol merge different cardiac calm, can happen bradycardia, low blood pressure, heart failure, or even sudden cardiac arrest; And the yankees glutinosa and verapamil share, then can happen sudden death.


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