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This may result in severe hypotension, bradycardia and cardiac failure.It gradually rises as we awaken thanks to release of cortisol from the adrenal glands. Those who do not experience a drop in blood pressure during sleep may, in fact, be at higher risk for heart attack and stroke.
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Beta-blockers may exacerbate the rebound hypertension which can follow the withdrawal of clonidine.Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of atenolol in the elderly.
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