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How is heart blockage treated?
Treatment. For second- and third-degree heart block, you may get a small device called a pacemaker in your chest. This is considered "minor" surgery and you'll be sedated for it. Like a backup electrical system, it reminds the heart to beat at a normal rate if it slows or stops.
Why calcium channel blockers should be avoided in heart failure?
The calcium channel blockers, verapamil and diltiazem, should generally be avoided in patients with CHF, as their negative inotropic effects may exacerbate the disease. This is due to the increased risk of lactic acidosis associated with metformin use in CHF as opposed to when it is used in patients without CHF.
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