Activators of potassium channels Flashcards
Activators of potassium channels
they open K-channels, cause hyperpolarization of the membrane and ↓ entry of Ca into cardiomyocytes and vessels,
↓ heart rate and O2 consumption,
causes expansion of the coronary vessels and ↑ O2 delivery to the myocardium,
used for the prevention of strokes.
K-channel activators
Minoxidil, Diazoxide, Nicorandil, pinocidil
Drugs that reduce the need for heart O2
anaprilol, atenolol, metoprolol, nebivolol have anxiolytic effect;
have antiarrhythmic effect and antihypertensive effect; ↓ coronary blood flow, leveled ↓ diastolic voltage of the myocardium, shifting the oxyhemoglobin dissociation curve to the left.
А2-adrenoreceptor blockade
increased tone of intact coronary vessels - redistribution of blood in favor of ischemic sites
Activators of potassium channels drugs
Amiodarone
Amiodarone
has antianginal, antiarrhythmic effect;
↓ heart work, their consumption of O2;
dilates coronary vessels, ↑ coronary blood flow.
Amiodarone Side effects :
T1 / 2 - 10-50 days, remain long.
AV blockade, bradycardia, dyspepsia;
abnormal liver function, thyroid gland;
deposition of microcrystals in the cornea of the eye; colors the skin blue-gray.
Amiodarone Indications
prevention of CHD attacks
arrhythmias