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NBME 20 Answers

nbme20/Block 2/Question#49 (reveal difficulty score)
An 82-year-old woman is brought to the ...
Decreased slope of diastolic depolarization ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pharm cardio

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 +12  upvote downvote
submitted by โˆ—dbg(197)
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BBs work by decreasing cAMP and Ca2+ thereby slowing SAN & AVN activity. This prolongs phase 4 of depolarization. Therefore, they are known to increase the duration of diastole (predominantly) causing both a rise in heart coronary perfusion and reduction in heart rate.

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lovebug  FA 2019, 318page. class two antiarrhythmics. +1



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submitted by โˆ—hayayah(1212)
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Beta blockers as antiarrhythmics suppress abnormal pacemakers by decreasing the slope of phase 4 --> prolonging phase 4.

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chandlerbas  piano player sliding the keys to the left ---> delays diastolic depolarization --> rate control +9



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