A 77-year-old woman with newly diagnosed moderate Alzheimer's disease (MMSE 16/30) is due to start treatment. She has a background of sick sinus syndr...

Question

A 77-year-old woman with newly diagnosed moderate Alzheimer's disease (MMSE 16/30) is due to start treatment. She has a background of sick sinus syndrome with a resting heart rate of 52 bpm. She has no pacemaker. Which acetylcholinesterase inhibitor is MOST appropriate?

Accepted Answer

Rivastigmine

Answer

Donepezil

Answer

Galantamine

Answer

Any of the three equally

Answer

None - acetylcholinesterase inhibitors are absolutely contraindicated

uk-dgm MCQ (SBA): AChEI Selection in Sick Sinus Syndrome

A 77-year-old woman with newly diagnosed moderate Alzheimer's disease (MMSE 16/30) is due to start treatment. She has a background of sick sinus syndrome with a resting heart rate of 52 bpm. She has no pacemaker. Which acetylcholinesterase inhibitor is MOST appropriate?