Cardiac Drugs Flashcards
Digoxin
-used for heart failure and atrial fibrillation
-results in positive inotrope and negative chronotrope and dromotrope
Mechanism of action of Digoxin
Inhibits Na/K ATPase and results in increases of intracellular Ca via Na/Ca exchanger
Dobutamine
-used for acute treatment of severe heart failure
-positivity inotrope
Dobutamine mechanism of action
beta 1 agonist
Pimobendan
-used for heart failure
-positive inotrope and vasodilator
Pimobendan mechanism of action
Phosphodiesterase inhibitor (PDE3 and PDE5) in heart and blood vessels
Metoprolol
-used for hypertrophic cardiomyopathy
-beta blocker. Decreases heart rate but improves CO
Metoprolol mechanism of action
Slows heart rate and replaces ventricular wall so that diastolic filling is improved
Enalapril, Benazepril, Imidipril
-used for heart failure and hypertension
-reduces angiotensin II levels, therefore vasodilation and reducing aldosterone levels
Mechanism of action for enalapril, benazepril, imidipril
Inhibits angiotensin converting enzyme
Versartan, Telmisartan
-AT1 receptor antagonists
-causes vasodilation (mostly arteriolar) and reduces aldosterone release
Mechanism of action for valsartan, telmisartan
Inhibits actions of Ang II
Nitroglucerin, Nitroprusside
-used for heart failure
-results in venodilation and reduced preload
Mechanism of action for nitroglycerin and nitroprusside
Exogenous sources of NO
Prazosin
-used for heart failure and hypertension
-results in arteriolar dilation and reduced afterload