Heart failure

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Pharmacology
Shaima Amanda
Flashcards by Shaima Amanda, updated more than 1 year ago
Shaima Amanda
Created by Shaima Amanda over 10 years ago
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Question Answer
Drugs that can be used to treat heart failure 1. Renin-angiotensin system blockers 2. B-blockers 3. Diuretics 4. Ionotropic agents 5. Direct vasodilators 6. Aldosterone antagonists
In cases of hypertension, you gotta reduce the volume overload by giving... diuretics. It increases the water volume excreted through urine.
In cases of unstable angina, you gotta give... beta-blockers. It reduces the heart rate and myocardial work.
In cases of myocardial infarction, you gotta give... streptokinase. It converts plasminogen to plasmin. Plasmin digests the fibrin and fibrinogen clots.
The force of contraction of the heart directly depends on... the concentration of free cytosolic calcium.
Ionotropic agents increase the contractility of the heart by directly or indirectly altering... the mechanisms that control the concentration of intracellular calcium.
Sources of free intracellular calcium: 1. Opening of voltage gated calcium channels 2. Removal of sodium in exchange for calcium 3. Release of calcium from the sarcoplasmic reticulum and mitochondria
Removal of free intracellular calcium: 1. Sodium calcium exchange 2. Reabsorbed by the sarcoplasmic reticulum and mitochindria
Compensatory physiological responses to heart failure: 1. Increased sympathetic activity 2. Activation of the renin-angiotensin system 3. Myocardial hypertrophy
Angiotensin II 1. Potent vasoconstrictor; causes vasoconstriction 2. Stimulates adrenal gland to secrete aldosterone 3. Increase the sodium and water resorption
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