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Cardiotoxicity
Mechanisms of Cardiotoxicity
34
Anthropology
7th Grade
02/09/2013

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Term
Cardiac dysfunction, alteration of ion homeostasis, oxidative stress, organellar dysfunction, hypersensitivity myocarditis
Definition
Mechanisms of Cardiotoxicity
Term
antagonism of M2 receptors
Definition
Atropine
Term
increased conduction at sinoatrial and atrioventricular nodes
Definition
increased heart rate
Term
increased heart rate; conduction disturbances, supraventricular tachyarrhythmias; exacerbation of angina
Definition
antagonism of m2 receptors
Term
antagonism of m2 receptors; overexcitation of beta-1 adrenergic receptors
Definition
cardiac dysrhythmia
Term
increased heart activity in very very high levels
Definition
norepinephrine or epinephrine
Term
bombards beta-1 receptor (increased heart activity)
Definition
amphetamine
Term
blocks reuptake of NE, build up of NE, heart rate takes off
Definition
cocaine
Term
those who abuse are prone to arrhythmias
Definition
amphetamines, cocaine
Term
cardiac dysrhythmias, altered coronary blood flow
Definition
cardiac dysfunction
Term
sympathetic activity --> decreased coronary blood flow --> myocardial hypoxia
Definition
necrotic lesions in heart
Term
antimigraine or sympathomimetic drug-induced coronary vasospasms
Definition
altered coronary blood flow
Term
inhibition of sodium/potassium ATPases; calcium channel blockade, potassium channel blockade
Definition
Altered myocardial ion homeostasis
Term
promotes Na/Ca exchange and increases intracellular calcium--> increases likelihood of arrhythmia
Definition
inhibition of Na/K-ATPase
Term
contribute to excitation-contraction coupling
Definition
L-type calcium channels
Term
contribute to pacemaker potentials in SA node
Definition
T-type calcium channels
Term
negative inotropic effect due ot reduced calcium-induced calcium release
Definition
blockade of calcium channels
Term
calcium channel blockade
Definition
cardioselective, non-dihydropyridine CCBs
Term
cause excessive bradycardia, impaired electrical conduction and depressed contractility
Definition
Verapamil (Isoptin) and Diltiazem (Cardiazem)
Term
exacerbate preexistent bradycardia; conduction defects or heart failure
Definition
Verapamil (Isoptin) and Diltiazem (Cardiazem)
Term
blockade of the rapid-delayed rectifier current Ikr can lead to prolongation of the cardiac action potential and life-threatening cardiac arrhythmias of the torsades de pointes type
Definition
current mediated by the hERG ion channel
Term
time required to achieve ventricular depolarization, the time to the onset of repolarization and the time required to complete repolarization
Definition
Q-T interval
Term
atypical form of ventricular tachycardia, initiated only in the presence of long Q-T interval
Definition
Torsades de pointes
Term
Drug-induced long Q-T syndrome
Definition
Antiarrythmic classes IA, IC, III
Term
Antiarrhythmic class IA
Definition
Quinidine, Procainamide, Disopyramide
Term
Antiarrhythmic class IC
Definition
Encainide, Flecainide
Term
Antiarrhythmic class III
Definition
Sotalol, Amiodarone
Term
reactive free radicals generated during metabolism of parent molecule; mitochondrial injury with disruption of ATP production
Definition
Oxidative Stress
Term
reduced by flavoenzyme to form a doxorubicin semiquinone radical
Definition
Doxorubicin
Term
interfere with calcium handling and generation of ROS --> mitochondrial dysfunction
Definition
organellar dysfunction
Term
interference with beta oxidation, NADH synthesis, electron transport chain, proton gradient, and mitochondrial permeability transition
Definition
Mitochondrial dysfunction
Term
cause mitochondrial dysfunction
Definition
Doxorubicin (Adriamycin), Carvedilol (Coreg)
Term
can cause hypersensitivity mycarditis
Definition
Clozapine
Term
can result in rapidly progressive (and often fatal) heart failure and arrythmia
Definition
Myocarditis
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