click below
click below
Normal Size Small Size show me how
Antianginal
Cardio
Question | Answer |
---|---|
nitrates/nitrites | nitroglycerin, nitrol, isorbide dinitrate |
beta-blockers | atenolol, metoprolol |
calcium channel blockers | diltiazem, nifedipine, verapamil |
nitrates/nitrites | relax smooth muscles surrounding blood vessels leading to dilation; potent dilating effect on coronary arteries |
beta-blockers | bind to and block beta-adrenergic receptors causing slowing of HR and decreased contractility; decrease workload of heart |
calcium channel blockers | depress automaticity of and conduction through SA and Av nodes decreasing cardiac contractility and decreasing peripheral and coronary artery tone; verapamil and diltiazem decrease heart rate |
nitrates/nitrites adverse effects | dizziness, H/A, hypotension, tachycardia, syncope, flushing, withdrawal, sublingual burning |
beta-blocker adverse effects | AV block, CHF, bradycardia, hypoglycemia, fatigue, depression, sexual dysfunction |
calcium channel blocker adverse effects | increased urinary frequency, incontinence, bradycardia, AV block, CHF |
nitrate/nitrite desired effects | relief or prevention of anginal attacks, increased cardiac output, reduction of BP |
beta- blocker desired effects | decreased BP and HR; decreased frequency of angina pectoris; decreased rate of cardiovascular mortality and hospitalization in pts with heart failure |
calcium channel blocker desired effects | systemic vasodilation resulting in decreased BP; coronary vasodilation resulting in decreased frequency and severity of angina; suppression of arrhythmias |