This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Intravenous Anesthetic Agents, Subject name: Anaesthesia
ketamine can be used in all of the situations except 
Select and explain. 
A. Status asthamaticus, B. For analgesia and sedation, C. Obstetric haemorrhage, D. Ischemic hea disease
D: Ischemic hea disease
Answer: D: Ischemic hea disease 
Explanation: Ischemic hea disease is contraindicated in ketamine. Cardiovascular - Stimulating effects secondary to direct stimulation of the sympathetic nervous system. thus increasing blood pressure and hea rate it also has direct myocardial depressant effect.