Cardio Flashcards
Acetazolamide
Carbonic anhydrase inhibitor
Oral preparation
Dichlorphenamide
Carbonic anhydrase inhibitor
Oral preparation
Methazolamide
Carbonic anhydrase inhibitor
Oral preparation
Brinzolamide
Carbonic anhydrase inhibitor
Opthalmic preparation
Dorzolamide
Carbonic anhydrase inhibitor
Opthalmic preparation
Bumetanide
Loop diuretic
Furosemide
Loop diuretic
Ethacrynic acid
Loop diuretic
Torsemide
Loop diuretic
Amiloride
Potassium-sparing diuretic
Eplerenone
Potassium-sparing diuretic
Spironolactone
Potassium-sparing diuretic
Triamterene
Potassium-sparing diuretic
Mannitol
Osmotic diuretic
Bendroflumethiazide
Thiazide diuretic
Chlorothiazide
Thiazide diuretic
Hydrochlorothiazide
Thiazide diuretic
Indapamide
Thiazide diuretic
Methylclothiazide
Thiazide diuretic
Metolazone
Thiazide diuretic
Polythiazide
Thiazide diuretic
Quinethazone
Thiazide diuretic
Trichlormethiazide
Thiazide diuretic
Conivaptan
ADH antagonist
Tolvapton
ADH antagonist
-pril
ACE inhibitor
-sartan
Angiotensin receptor antagonist
Aliskiren
Renin inhibitor
Bosentan
Endothelin receptor antagonist
Aprepitant
Neurokinin-1 receptor antagnonist
Desopressin
Vasopressin agonist
Verapamil
Calcium channel blocker
Non dihydropyridine
Strongest cardiac effects
Diltiazem
Calcium channel blocker
Non dihydropyridine
Intermediate cardiac and vasodilator effects
Amlodipine
Calcium channel blocker
Dihydropyridine
Felodipine
Calcium channel blocker
Dihydropyridine
Isradipine
Calcium channel blocker
Dihydropyridine
Nicardipine
Calcium channel blocker
Dihydropyridine
Used for emergent HTN
Nifedipine
Calcium channel blocker
Dihydropyridine
Nimodipine
Calcium channel blocker
Dihydropyridine
Nisoldipine
Calcium channel blocker
Dihydropyridine
Nadolol
Non-selective beta blocker
Pendutolol
Non-selective beta blocker
Pindolol
Non-selective beta blocker
Propranolol
Non-selective beta blocker
Timolol
Non-selective beta blocker
Acebutolol
Beta1 selective beta blocker
Atenolol
Beta1 selective beta blocker
Bisoprolol
Beta1 selective beta blocker
Esmolol
Beta1 selective beta blocker
IV, short half life
Metroprolol
Beta1 selective beta blocker
Carteolol
Beta blocker
NO production
Carvedilol
Beta blocker
Alpha1 antagonist, blocks Ca2+ entry
Labetalol
Beta blocker
Alpha1 antagonist
Betaxolol
Beta1 specific blocker
Blocks Ca2+ entry
Nebivolol
Beta1 selective blocker
NO production
Nitroprusside
Vasodilator
NO release
Hydralazine
Vasodilator
NO release
Minoxidil
Vasodilator
Opens potassium channels, hyperpolarizes smooth muscle
Diazoxide
Vasodilator
Opens potassium channels, hyperpolarizes smooth muscle
Fenoldopam
Vasodilator
Activates dopamine receptors
Amyl nitrate
Organic nitrate
Isosorbide mononitrate
Organic nitrate
isosorbide dinitrate
Organic nitrate
Ranolazine
Reduces intracellular calcium concentration and reduces cardiac contractility and work
Digoxin
Increases intracellular sodium and calcium
Increases parasympathetic tone to heart
Inamrinone
Phosphodiesterase inhibitor
Inactive cAMP and cGMP
Milrinone
Phosphodiesterase inhibitor
Inactive cAMP and cGMP
Dobutamine
B1 agonist
Procainamide
Class IA antiarrhythmic
Lupus like syndrome
Quinidine
Class IA antiarrhythmic
Can cause cinchonism (headache, dizziness, tinnitus)
Watch for digoxin interaction
Disopyramide
Class IA antiarrhythmic
More anti muscarinic effects (HR increase)
Lidocaine
Class IB antiarrhythmic
Least cardiotoxic Class I
Used for ischemia or digoxin toxicity, not AFib
Mexiledine
Class IB antiarrhythmic
Lidocaine analog, effective orally
Flecainide
Class IC antiarrhythmic
Increased mortality in patients with recent MI
Propafenone
Class IC antiarrhythmic
Increased mortality in patients with recent MI
weak beta blocking activity
Moricizine
Class IC antiarrhythmic
Increased mortality in patients with recent MI
Amiodarone
Class III antiarrhythmic
Many side effects
Dronedarone
Class III antiarrhythmic
analog of amiodarone but no iodines
Liver toxicity
Vernakalant
Multi-channel blocker
Sotalol
Class III antiarrhythmic
Non selective beta blocker that prolongs APD
Risk of torsade de pointes
Dofetilide
Class III antiarrhythmic
Ibutilide
Class III antiarrhythmic
Adenosine
Antiarrhythmic
Effects AV node over SA node
Treats paroxysmal supraventricular tachycardia
Magnesium
Antiarrhythmic
Prevents torsades de pointes
Treats digoxin-induced arrhythmias
Familial hypertriglyceridemia
High triglycerides
Tx with Fibrates
Familial lipoprotein lipase deficiency
High triglycerides
ApoCII deficiency
High triglycerides
Familial hypercholesterolemia
High cholesterol
Defect in LDL-receptor
Responds well to statins
Familial defective apoB100
High cholesterol
Mutaion in apoB100, decreased affinity to LDL receptor
Responds well to statins and niacin
Familial combined hyperlipidemia
Complex lipid panel
Tx with statins, combine with fibrates as needed
Dysbetalipoproteinemia
Defects in apoE
Increased chylomicrons and IDL-like particles
Tx with decrease fat and cholesterol intake, niacin and fibrates
Statins
HMG-CoA Reductase Inhibitors
Lowers LDL
Niacin
Lowers LDL, elevates HDL
Gemfibrozil
Fibrate
Activate hepatic PPAR-a, decrease plasma triglycerides
Lovaza
Omega-3 fatty acid Reduces triglycerides (activate PPARa)
Colestipol
Bile acid binding resin
Lowers LDL by 20%
No systemic effects (not absorbed)
Cholestyramine
Bile acid binding resin
Lowers LDL by 20%
No systemic effects (not absorbed)
Colesevelam
Bile acid binding resin
Lowers LDL by 20%
No systemic effects (not absorbed)
Ezetimibe
Inhibits intestinal absorption of cholesterol and phytosterols
Simcor
Extended release niacin plus simvastatin
Vytorin
ezetimibe plus simvastatin