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That results in the decrease of heart rate and contractility this way decreasing the oxygen demand of the cardiac muscle.

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In acute administration in patients with coronary heart disease without chronic heart failure bisoprolol reduces the heart rate and stroke volume and thus the cardiac output and oxygen consumption. In chronic administration the initially elevated peripheral resistance decreases.

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The distribution volume is 3. The plasma elimination half-life hours provides 24 hours efficacy following a once daily dosage.

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