Kategorier: Alle - therapy - medications - hypertension - cardiac

af R G 15 år siden

251

Myocardial Performance

The text outlines various aspects of managing myocardial performance, with a focus on heart rate reduction as a therapy goal to enhance cardiac output. It highlights the use of specific medications such as Digoxin, beta-blockers, and calcium channel blockers to achieve these goals.

Myocardial Performance

Myocardial Performance

Afterload

Cardiac Remodeling Prevention

Labetalol

Carvedilol

Aldosterone antagonists

ARBs

Blocks locally produced AgII

ACE inhibitors

Pregnancy

Kidney-sparing

Dry cough

Captopril

Renin antagonist

Aliskiren

PDE5 Inhibitors
Priapism

Does your erection last for more than 4 hours?

Pulmonary HTN
↑cGMP
Tadalafil (Cialis)

(36h)

Vardenafil (Levitra)

V = Very quick onset

Sildenafil (Viagra)

Subtopic

Arterial relaxants
Always use w/ BB + Diuretic

You need to block the compensatory effects of the baroreceptor reflex.

Pinacil
PO

Minoxidil

Hypertrichosis

Hydralazine

Lupus-like syndrome

IV

Diazoxide

Hyperglycemia

Calcium-channel blockers
Cardiosparing

Nifedipine

Diltiazem
Verapamil
Alpha-1-blockers
1st-pass Syncope
Terazosin
Doxazosin
Prazosin

Heart Rate

Goal of Therapy

Decrease HR --> Increase filling time --> Increase cardiac output

↑Vagal tone
Calcium channel blockers
Beta-blockers

Preload

Other
Morphine

Think PBL case

Nitrates
Angina prophylaxis

Isosorbid dinitrate

Malignant HTN

Nitroprusside

Thiocyanate

B12

Reduces toxicity

Dx Use

Amyl nitrate

Inhalation

Acute angina

Nitroglycerin

Almost every route

Diuretics

Contractility

Digoxin