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Acebutolol is a cardioselective beta-1 blocker medication with intrinsic sympathomimetic activity (ISA). It works by blocking beta-1 receptors in the heart, slowing heart rate and decreasing blood pressure. Unlike many beta blockers, it provides low-grade beta stimulation at rest while acting as a typical beta-blocker when sympathetic activity is high. This results in smaller decreases in heart rate and cardiac output compared to beta blockers without this property. It has minimal impact on serum lipids and does not decrease HDL cholesterol levels.
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