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A medical student in the coronary intensive care unit asked whether Marvin should also be treated with propranolol (a -adrenergic antagonist). The student reasoned that

A medical student in the coronary intensive care unit asked whether Marvin should also be treated with propranolol (a -adrenergic antagonist). The student reasoned that propranolol would reduce the myocardial O2 requirement and possibly prevent another infarction. Why does propranolol decrease the myocardial O2 requirement? The attending physician pointed out that there could be a risk associated with the use of propranolol. What is this risk?

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