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anti HTA BB?
Pindolol (Visken®)
Propranolol (Inderal®)
Acébutolol (Sectral®)
Aténolol (Tenormin®)
Bisoprolol (Emconcor®)
Esmolol (Brevibloc®)
Métoprolol (Lopresor®)
Bétaxolol (Kerlone®)
Céliprolol (Selectol®)
Nébivolol (Nobiten®)
Carvédilol (Kredex®)
Labétalol (Trandate®)
notes avec BB?
=>!!! Diminuer progressivement les doses avant l’arrêt du traitement !!!
=> Attention à la bronchoconstriction des BB non cardioselectifs ( B1>B2); car action également au niveau respiratoire. Donc attention pour les pesonnes asthmatiques !
Parler des antagonistes calciques?
--> anatagonistes calciques bloquent les canaux claqieus au niveau cardiaque ou vasculaire.
-->3 types: Dihydropiridine(dipines), vérapamil, diltiazem.
-->Indication des dipines surtout pour l'HTA; le vérapamil et le DTZ surtout pour les arruythmies supraventriculaires.
-->les anticalciques sont très bon pour l'angor instables.
IEC effets secondaires?
==>Toux (accumulation de bradykinine)
Hypotension (1
ère
administration surtout si déplétion volémique)
Hyperkaliémie
==> contre-indication===> GROSSESSE !!!
Parler des sartans !
==> Inhibiteur des récepteurs AT1 de l'angiotensine


==> Effets 2 aires: Hypotension (1
ère
administration)
Hyperkaliémie
Parler des diurétiques .
Plusieurs types de diurétiques.
1° Non K+épargnants:
==> Thiazidiques ( inhibent symporteur NA+ K+; effets 2aires: hypokaliémie, hyperuricémie).
==> Diurétiques de l'anse: inhibent symporteur NAKCC( effets 2 aires: hypokaliémie, ototoxicité, hyperuricémie !)
==>Diuretiques K+ épargnant : spironolactone(inhibiteur de l’aldostérone; effets 2aires; hyperkaliémie; gynecomastie;..Etc); AMILORIDE( inhibe canal NA+; avec hyperkaliémie ).