Cardio-selective Beta-adrenergic Therapy Report
Beta adrenergic therapy with propranolol is the therapy of choice in the treatment of hypertrophic obstructive cardiomyopathy. However, it is contraindicated in the presence of severe asthma. Recendy a cardio-selective β-1 adrenergic antagonist, pindolol, or 4-(2-hydroxy-3-isopropylaminopropoxy) indole has been developed with a potency equal to or greater than that of propranolol. Specific β-2 adrenergic agonists also are available for use in patients with asthma. Their effects on the cardiovascular system are minimal. We recently encountered