Review Question - QID 210606

A 72-year-old patient is referred to an ophthalmologist because he has noticed some mild discomfort in his eyes though his vision remains unchanged. He cannot recall when this feeling started. His past medical history is significant for diabetes mellitus and two myocardial infarctions that have led to significant cardiac dysfunction. Specifically, he has dyspnea and peripheral edema and regularly decompensates into more severe pulmonary edema requiring hospitalization. Testing reveals increased intra-ocular pressure so the ophthalmologist prescribes several medications. The medication for this disorder that is most likely to be contraindicated in this patient has which of the following characteristics?