08-04-2006, 10:44 AM
An asymptomatic 47-year-old man comes for a routine follow-up examination 3 weeks after sustaining an inferior wall myocardial infarction. His recovery was complicated by transient premature ventricular contractions during the first 2 days of hospitalization. An exercise stress test prior to discharge showed no pain at 70% of his predicted maximum exercise capacity. Medications include daily aspirin and pravastatin. His blood pressure is 136/80 mm Hg, pulse is 80/min and regular, and respirations are 16/min. Cardiopulmonary examination shows no abnormalities. Which of the following is the most appropriate additional pharmacotherapy for this patient?
A) Clonidine
B) Metoprolol
C) Quinidine
D) Sulfinpyrazone
E) Verapamil
A) Clonidine
B) Metoprolol
C) Quinidine
D) Sulfinpyrazone
E) Verapamil