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CARDIAC DRUG THERAPY
Cardiac
Therapy
S EVENTH E DITION
M. Gabriel Khan
MD , FRCP ( LONDON ) , FRCP ( C ) , FACP , FACC
Cardiac
Drug
Drug
Therapy
S EVENTH E DITION
M. Gabriel Khan
MD , FRCP ( LONDON ) , FRCP ( C ) , FACP , FACC
C ARDIAC D RUG T HERAPY
C ONTEMPORARY C ARDIOLOGY
C HRISTOPHER P. C ANNON , MD
S ERIES E DITOR
A NNEMARIE M. A RMANI , MD
E XECUTIVE E DITOR
Nuclear Cardiology: The Basics: How to Set Up
and Maintain a Laboratory, Second Edition,
by Frans Wackers, MD , P h D , Barry L. Zaret,
MD , P h D , and Wendy Bruni, CNMT , 2008
Rapid ECG Interpretation, Third Edition, by M.
Gabriel Khan, MD , FRCP , 2007
Therapeutic Lipidology, edited by Michael H. David-
son, MD , Kevin C. Maki, P h D , and Peter P. Toth,
MD , P h D , 2007
Essentials of Restenosis: For the Interventional
Cardiologist, edited by Henricus J. Duckers,
P h D , MD , Patrick W. Serruys, MD , and Elizabeth
G. Nabel, MD , 2007
Cardiac Drug Therapy, Seventh Edition, by M. Gabriel
Khan, MD , FRCP ( LONDON ) , FRCP ( C ), FACP , FACC , 2007
Cardiovascular Magnetic Resonance Imaging ,
edited by Raymond Y. Kwong, MD , 2007
Essential Echocardiography: A Practical Handbook
With DVD, edited by Scott D. Solomon, MD ,
2007
Management of Acute Pulmonary Embolism ,
edited by Stavros Konstantinides, MD , 2007
Stem Cells and Myocardial Regeneration , edited
by Marc S. Penn, MD , P h D , 2007
Handbook of Complex Percutaneous Carotid
Intervention , edited by Jacqueline Saw, MD ,
Jose Exaire, MD , David S. Lee, MD , Sanjay
Yadav, MD , 2007
Preventive Cardiology: Insights Into the Prevention
and Treatment of Cardiovascular Disease,
Second Edition, edited by JoAnne Micale
Foody, MD , 2006
The Art and Science of Cardiac Physical
Examination: With Heart Sounds and Pulse
Wave Forms on CD, by Narasimhan
Ranganathan, MD , Vahe Sivaciyan, MD ,
and Franklin B. Saksena, MD , 2006
Cardiovascular Biomarkers: Pathophysiology
and Disease Management, edited by David A.
Morrow, MD , 2006
Cardiovascular Disease in the Elderly , edited by
Gary Gerstenblith, MD , 2005
Platelet Function: Assessment, Diagnosis, and
Treatment, edited by Martin Quinn, MB BC h
BAO , P h D , and Desmond Fitzgerald, MD , FRCPI ,
FESC , APP , 2005
Diabetes and Cardiovascular Disease, Second
Edition, edited by Michael T. Johnstone, MD , CM ,
FRCP ( C ), and Aristidis Veves, MD , DS c , 2005
Angiogenesis and Direct Myocardial Revascular-
ization, edited by Roger J. Laham, MD , and
Donald S. Baim, MD , 2005
Interventional Cardiology: Percutaneous
Noncoronary Intervention, edited by
Howard C. Herrmann, MD , 2005
Principles of Molecular Cardiology , edited by Marschall
S. Runge, MD , and Cam Patterson, MD , 2005
Heart Disease Diagnosis and Therapy: A Practical
Approach, Second Edition, by M. Gabriel Khan,
MD , FRCP (L ONDON ), FRCP ( C ), FACP , FACC , 2005
Cardiovascular Genomics: Gene Mining for
Pharmacogenomics and Gene Therapy,
edited by Mohan K. Raizada, P h D , Julian F.
R. Paton, P h D , Michael J. Katovich, P h D , and
Sergey Kasparov, MD , P h D , 2005
Surgical Management of Congestive Heart Failure ,
edited by James C. Fang, MD
and Gregory S. Couper, MD , 2005
Cardiopulmonary Resuscitation , edited by Joseph P.
Ornato, MD , FACP , FACC , FACEP and Mary Ann
Peberdy, MD , FACC , 2005
CT of the Heart: Principles and Applications, edited
by U. Joseph Schoepf, MD , 2005
Coronary Disease in Women: Evidence-Based Diag-
nosis and Treatment, edited by Leslee J. Shaw,
P h D and Rita F. Redberg, MD , FACC , 2004
Cardiac Transplantation: The Columbia University
Medical Center/New York-Presbyterian
Hospital Manual, edited by Niloo M. Edwards,
MD , Jonathan M. Chen, MD , and Pamela A.
Mazzeo, 2004
Heart Disease and Erectile Dysfunction , edited by
Robert A. Kloner, MD , P h D , 2004
Complementary and Alternative Cardiovascular
Medicine, edited by Richard A. Stein, MD
and Mehmet C. Oz, MD , 2004
Nuclear Cardiology, The Basics: How to Set Up
and Maintain a Laboratory, by Frans J. Th.
Wackers, MD , P h D , Wendy Bruni, BS , CNMT ,
and Barry L. Zaret, MD , 2004
C ARDIAC D RUG T HERAPY
Seventh Edition
by
M. G ABRIEL K HAN , MD , FRCP , FACC
Associate Professor of Medicine, University of Ottawa, and
Cardiologist, The Ottawa Hospital,
Ottawa, Ontario, Canada
© 2007 Humana Press Inc.
999 Riverview Drive, Suite 208
Totowa, New Jersey 07512
All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or
by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise without written permission
from the Publisher.
The content and opinions expressed in this book are the sole work of the authors and editors, who have warranted due
diligence in the creation and issuance of their work. The publisher, editors, and authors are not responsible for errors
or omissions or for any consequences arising from the information or opinions presented in this book and make no
warranty, express or implied, with respect to its contents.
Due diligence has been taken by the publishers, editors, and authors of this book to assure the accuracy of the information
published and to describe generally accepted practices. The contributors herein have carefully checked to ensure that
the drug selections and dosages set forth in this text are accurate and in accord with the standards accepted at the time
of publication. Notwithstanding, as new research, changes in government regulations, and knowledge from clinical
experience relating to drug therapy and drug reactions constantly occurs, the reader is advised to check the product
information provided by the manufacturer of each drug for any change in dosages or for additional warnings and
contraindications. This is of utmost importance when the recommended drug herein is a new or infrequently used drug.
It is the responsibility of the treating physician to determine dosages and treatment strategies for individual patients.
Further it is the responsibility of the health care provider to ascertain the Food and Drug Administration status of each
drug or device used in their clinical practice. The publisher, editors, and authors are not responsible for errors or
omissions or for any consequences from the application of the information presented in this book and make no warranty,
express or implied, with respect to the contents in this publication.
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Printed in the United States of America. 10 9 8 7 6 5 4 3 2 1
eISBN 1-59745-238-6 ISBN13 978-1-58829-904-8
Library of Congress Cataloging-in-Publication Data
Khan, M. I. Gabriel.
Cardiac drug therapy / by M. Gabriel Khan. — 7th ed.
p. ; cm. — (Contemporary cardiology)
Includes bibliographical references and index.
ISBN-13: 978-1-58829-904-8 (alk. paper)
ISBN-10: 1-58829-904-X (alk. paper)
1. Cardiovascular agents. 2. Heart—Diseases—Chemotherapy. I. Title. II. Series: Contemporary
cardiology (Totowa, N.J. : Unnumbered)
[DNLM: 1. Heart Diseases—drug therapy—Handbooks. 2. Cardiovascular Agents—therapeutic use—
Handbooks. WG 39 K45c 2007]
RC684.C48K437 2007
616.1’2061—dc22 2006032373
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