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Atenolol moderate the combination of diltiazem and a beta-blocker, like atenolol, is usually well tolerated; the combination is often used for their combined therapeutic benefits to reduce angina and improve exercise tolerance.

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With sa node or av conduction disturbances, the use of diltiazem should be avoided in patients with sa or av nodal abnormalities, because of its negative chronotropic and dromotropic effects.

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