Cardiac impairment

Contraindications Cardiac impairment, hypercalcemia, prostatic or breast cancer in males, severe liver or renal disease... 

The use of local anesthesia for total thyroidectomy in patients with amiodarone-induced hyperthyroidism and cardiac impairment has been reviewed in the context of six patients (74). 

Allergic disorders, pregnancy and lactation - manufacturers advise to avoid use, coagulation defects, renal, hepatic and cardiac impairment, the elderly, epilepsy, parkinsonism, psychiatric disturbance... 

Renal, hepatic and cardiac impairment including cardiac failure, LV dysfunction, dehydration, hypertension, oedema and patients with risk factors for developing heart disease, the elderly, in coagulation defects... 

The elderly, gastrointestinal disease, cardiac impairment, renal impairment or hepatic impairment. Manufacturers advise to avoid use in breastfeeding... 

Colchicine would be the agent of choice for Mr KT due to his concurrent medical history of hypertension. NSAIDs should be used with caution in patients with a history of cardiac impairment, which includes hypertension. 

Diclofenac is contraindicated in those with a history of hypersensitivity to aspirin or another NSAID, severe heart failure, patients with previous or active peptic ulceration, or porphyria. It should be avoided in pregnancy. It should be used with caution in patients with allergic disorders, renal, hepatic and cardiac impairment, the elderly, in lactation and in those with coagulation defects. 

Risk/benefit ratio may not justify use of TCAs/tetracyclics in cardiac impairment... 

Use in patients with cardiac impairment has not been studied, so use with caution because of risk of orthostatic hypotension... 

Buspirone has been used to treat hostility in patients with cardiac impairment... 

Bradycardia or heart block may occur in patients with or without cardiac impairment... 

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