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Cardio-Pharm
Vasodialators and Angina Treatment
9
Pharmacology
Graduate
10/06/2010

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Cards

Term
What is the CV mechanism of action of organic nitrates? What is the molecular mechanism of action of organic nitrates?
Definition

CV: Primarily Venodialation, but also coronary dilation, and arteriole dialation

Molecular: Increase cGMP

Term
Long lasting organic nitrate and problem with its use
Definition
Isosorbide Dinitrate, Tolerance quickly assumes
Term
The channel targeted by Ca-channel Inhibitors
Definition
L-Type Calcium Channels
Term
What is the difference between the two types Ca-channel inhibitors
Definition

Non-Dihydropyradines are negative chronotropes and inotropes

DHP's have reflex Tachycardia

Term
What are the uses of Ca-Channel blockers
Definition
Both Types: HPTN, Stable Angina
Non-DHP: Unstable Angina, SVT
Term
Why are Beta-Blockers use with DHP's?
Why are Beta-Blockers not used with Non-DHP's?
Definition
Prevent reflex Tach with DHP use
Both suppress the heart-> Death
Term
How is Unstable Angina Treated
Definition
Rest
B-Block
Antiplatelet and Anticoagulation
Term
How is Variant Angina treated
Definition
Nitrates and Ca-Channel blockers
Term

What is the mechanism of Ranolazine

Who is it contraindicated in?

Definition

Inhibit late Na current from MI to increase  Ca efflux from myocytes

Contraindication: Prolonged QT syndrome

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