How does nifedipine affect heart rate, particularly in patients with underlying cardiac conditions and what monitoring is necessary to ensure safety?
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1. Nifedipine can lower blood pressure and may initially increase heart rate. Monitor BP and EKG in cardiac patients.
2. In patients with cardiac issues, nifedipine might raise heart rate as a reflex to vasodilation. Continuous ECG and blood pressure monitoring are essential.
3. For those with heart conditions, nifedipine often causes a compensatory tachycardia. It’s crucial to regularly check their heart rate and blood pressure.