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What treatment should you avoid in variant angina?

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Final answer:

In managing variant angina, it is important to avoid beta blockers, which can potentially worsen coronary artery spasms, and instead use calcium channel blockers and nitrates that are effective for relieving spasms.

Step-by-step explanation:

Treatments to Avoid in Variant Angina

In the context of variant angina, which is a form of angina characterized by chest pain caused by spasms of the coronary arteries, certain treatments typically used in other forms of angina or myocardial infarction should be avoided. One of the key treatment differences involves the use of calcium channel blockers and nitrates, which are effective in variant angina because they can help to relieve the spasms. However, the treatment to avoid, particularly in variant angina, are negative inotropic agents such as certain beta blockers. These drugs normally decrease the heart's demand for oxygen and reduce its workload, but they can potentially worsen coronary artery spasms, thus they are not recommended in the treatment of variant angina.

It is crucial to distinguish between the types of angina, as the treatment for stable or unstable angina generally includes the use of beta blockers to relieve symptoms and improve outcomes, whereas in variant angina, this treatment approach should be avoided due to the risk of inducing spasms. Qualified medical professionals will consider this when determining the appropriate treatment plan for a patient with variant angina.

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