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12 Cards in this Set

  • Front
  • Back
Nitroglycerin?
MOA, Use
NO=> activates K+ channels=>membrane hyperpolarisation=>reduces [Ca], also increases cGMP which causes inhibition of Ca channels and increases MLC phosphotase these all lead to vasorelaxation=>reduces preload and afetrload (reducing O2 demand) and increases O2 supply
Use - Varient and stable angina
Isosorbide Dinitrate?
MOA, Use
NO=> activates K+ channels=>membrane hyperpolarisation=>reduces [Ca], also increases cGMP which causes inhibition of Ca channels and increases MLC phosphotase these all lead to vasorelaxation=>reduces preload and afetrload (reducing O2 demand) and increases O2 supply
Use - Varient and stable angina
Sodium Nitroprusside?
MOA, Use
NO=> activates K+ channels=>membrane hyperpolarisation=>reduces [Ca], also increases cGMP which causes inhibition of Ca channels and increases MLC phosphotase these all lead to vasorelaxation=>reduces preload and afetrload (reducing O2 demand) and increases O2 supply
Use - Varient and stable angina
Atenolol?
MOA, Use
beta1 blocker
use - stable angina
Acebutolol?
MOA, Use
beta1 blocker
use - stable angina
Pindolol?
MOA, Use
beta1 blocker
use - stable angina
Propranolol?
MOA, Use
beta1 and beta2 blocker
use - stable angina
Ivabradine?
MOA, Use, Side effects, Contra
MOA - inhibits If current in SA node reducing HR
Use - stable angina for patients with normal sinus rhythms when beta blockers are contraindicated
side effects - blurred vision, bradycardia, AV block, arrythmias
Contra - Ca channel blockers
MOA of beta blockers treating angina?
Block beta1 receptors reducing HR and force reducing O2 demand and a reduced HR means and increased distolic time so increased O2 supply
Cause of stable angina?
coronary artheroma, mismatch between O2 demand and O2 supply
Cause of Varient Angina?
coronary spasm
Cause of unstable angina?
transient platelet aggregation