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Atrial rate 120 bpm or 220 bpm sbp 90 mm hg 2 nd or 3 rd degree av block temperature 38 o c acute stemi known nyha class iv heart failure chronic copd prehospital administration of any av nodal blocking agent history of allergic reaction to diltiazem or metoprolol history of sick sinus or pre-excitation […]

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Uses coronary vasodilatation general neuropathy incidence high risk factor chronic higher doses 300 mg day for 4 months neuropathy onset after weeks to months; pedal paresthesias motor weakness distal then proximal sensory loss pansensory autonomic occasional orthostatic hypotension maximum disability severe 2 to weakness time course coasting progression after drug is stopped resolution over months […]