Term
What is the CV mechanism of action of organic nitrates? What is the molecular mechanism of action of organic nitrates? |
|
Definition
CV: Primarily Venodialation, but also coronary dilation, and arteriole dialation
Molecular: Increase cGMP |
|
|
Term
Long lasting organic nitrate and problem with its use |
|
Definition
Isosorbide Dinitrate, Tolerance quickly assumes |
|
|
Term
The channel targeted by Ca-channel Inhibitors |
|
Definition
|
|
Term
What is the difference between the two types Ca-channel inhibitors |
|
Definition
Non-Dihydropyradines are negative chronotropes and inotropes
DHP's have reflex Tachycardia |
|
|
Term
What are the uses of Ca-Channel blockers |
|
Definition
Both Types: HPTN, Stable Angina Non-DHP: Unstable Angina, SVT |
|
|
Term
Why are Beta-Blockers use with DHP's? Why are Beta-Blockers not used with Non-DHP's? |
|
Definition
Prevent reflex Tach with DHP use Both suppress the heart-> Death |
|
|
Term
How is Unstable Angina Treated |
|
Definition
Rest B-Block Antiplatelet and Anticoagulation |
|
|
Term
How is Variant Angina treated |
|
Definition
Nitrates and Ca-Channel blockers |
|
|
Term
What is the mechanism of Ranolazine
Who is it contraindicated in? |
|
Definition
Inhibit late Na current from MI to increase Ca efflux from myocytes
Contraindication: Prolonged QT syndrome |
|
|