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MARCH 2003 QUIZ OF THE MONTH . . .

Case description:
Your patient is a 48 year old man with persistent moderate asthma adequately controlled on inhaled corticosteroids. He has recently had an acute myocardial infarction (MI). His cardiologist wishes to prescribe therapy with a beta-blocker drug to reduce the likelihood of post-MI morbidity/mortality. You have been consulted as to the advisability of using beta-blocker therapy in this patient. Which one of the responses below is most appropriate?

  1. All beta-blocker drugs can be used safely in individuals with active asthma
  2. No beta-blocker drugs can be used safely in individuals with active asthma
  3. Because the patient requires inhaled corticosteroid treatment to control asthma, beta-blocker therapy is particularly contra-indicated in this man
  4. Cardio-selective beta-blocker drugs can be used safely in individuals with active asthma

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