A. Médocs à donner selon la pathologie_CARDIO Flashcards by Fatoumata Barry

TT hypertension

1ère intention : 
B-bloquant 
antagoniste calcique 
ISRA
diurétiques 
2ème intention 
alpha-bloquant 
antihypertenseurs centraux

faut pas donner acetazolamide (inhibiteurs de l’anhydrase carbonique)

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Angor général

BBloquants
Antiangoreux 1ère int = DERIVES NITRES

Antiangoreux 2ème int = IVABRADINE

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angor stable

Antagonistes calciques

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angor instable

Héparine N
Héparine BPM DALTEPARINE
ASPIRINE 160-300 mg

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angor prévention

ANTI-THROMBROTIQUE

STATINES (facteurs de risque)

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IEC
SARTANS
DIURETIQUES épargne K+ = SPIRONOLACTONE (+hyperaldo)
APPORT hydrosodée
Antiangoreux 2eme int = IVABRADINE

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IC stable + chronique

BBloquants

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IC grave

DIGITALIQUES = DIGOXINE (+ FA + flutter)

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IC gauche

Antiangoreux 1ère int = DERIVES NITRES

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IC aigue

Inotropes + (inhib PDE3) = MILRINONE et LEVOSIMENDAN

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INSUFFISANCE CARDIAQUE chronique avec FEV diminuée

Inhib néprysiline = SACUBITRIL-VALSARTAN

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ARYTHMIE SUPRAVENTRICULAIRES

CLASSE 1 = RYTHMODAN + VERNAKALANT
CLASSE 1 = CIPRALAN + APOCARD + RYTHMONORM
CLASSE 3 = AMIODARONE + SOTALOL
AUTRES = ADENOSINE
CLASSE 4 = ANTAG CALCIQUES

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ARYTHMIE VENTRICULAIRES

CLASSE 1 = LIDOCAINE

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ARYTHMIE

CLASSE 2 = BBloquants

PHENYTOINE = antiépileptique actif canaux Na

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effet cardio-protecteur

BBloquants

ASPIRINE (perte si avec AINS)

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INFARCTUS

IEC
ASPIRINE (160-300 mg)
HEPARINE N
HEPARINE BPM = DALTEPARINE
TRHOMBOLYTIQUES = UROKINASE + METALYSE

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INFARCTUS aigu

Antiangoreux 1ère int = DERIVES NITRES

NEPHROPATHIES

IEC

SARTANS

RETENTION HYDRONA

Diurétiques thiazidiques

Diurétiques anse (+ oedème

HYPERCHOLEST

HYPERCHOLEST STATINES
Dérivés nicotiniques = ACIPIMOX
Inhib PCSK9 = …CUMAB (primaire)

HYPERTG

FIBRATES

Dérivés nicotiniques = ACIPIMOX

DYSLIPIDEMIE

EZETIMIBE
FIBRATES
Résines = COLESTYRAMINE
Inhib PCSK9 = … CUMAB (mixte)

PREVENTION CARDIO-VASCU

STATINES
EZETIMIBE
Inhib PCSK9 = …CUMAB

PREVENTION DES MThrEMBo

ASPRINE
Thienopyridines = CLOPIDOGREL
DIPYRIDAMOLE avec aspirine + Antag VITK
TOUTES LES HEPARINES
ANTAG VIT K
INHIB THROMBINE et Xa

PREVENTION DES MThrEMBo après un Syndrome Coronarien aigu

Analogue de l’adénosine = TICAGRELOR Tjrs avec aspirine

TT DES MThrEMBo

TOUTES LES HEPARINES ANTAG VIT K INHIB TROMBINE et Xa THROMBOLYTIQUES = UROKINASE + METALYSE

AVC ischémique

ASPIRINE | HEPARINE BPM = DALTEPARINE

FA + Flutter

DIGITALIQUES+ ANTAG VIT K (prévention)

Anti HT et grossesse

Tous ok SAUF IEC SARTANS

anti angoreux et grossesse

Tous ok sauf MOLSIDOMINE et IVABRADINE

anti arythmique et grossesse

Tous ok sauf AMIODARONE (classe 3)

hypolipidémiants et grossesse

Tous ok sauf STATINES et FIBRATES

anti-angrégants et grossesse

Tous ok sauf ASPIRINE

anti-coagulants et grossesse

Tous ok sauf ANTAG VIT K

V/F pr les IC et hypotension, pas de CI de grossesse

tremor

Indication chez BBloquants et EI chez B2-mimétiques et Acide valproïque

syndrome de Raynaud

Indication chez Antag calciques DIHYDRO

glaucome

Indication chez ACETAZOLAMIDE et CI chez Parkinson Anticholinergiques centraux

si intolérance statines

résines + Fibrates

dépression respi

BENZO + ANALGESIQUES MORPHINIQUES