Cardiology Flashcards

1
Q

treatment of primary hypertension

A
  • HTCZ
  • ACE inhibitors/ARBS
  • CCB
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2
Q

treatment of hypertension with heart failure

A
  • diuretics
  • ACE/ARBS
  • beta blockers (careful)
  • aldosterone agents
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3
Q

treatment of hypertension with diabetes

A
  • ACEi/ARBs**

- others

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4
Q

treatment of hypertension in pregnancy

A
  • hydralazine
  • labetalol
  • methyldopa
  • nifedipine
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5
Q

CCBs (non di) mechanism

A

verapamil and diltiazem (vanilla and dark chocolate ice cream)

  • block L type calcium channels
  • more active in cardiac muscle
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6
Q

CCBs (non di) treatment

A

hypertension, angina, afib/flutter

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7
Q

CCBs (non di) side effects

A

edema, flushing dizziness, gingival hyperplasia

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8
Q

verapamil

A

CCB - non di

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9
Q

diltiazem

A

CCB - non di

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10
Q

-dipine druges

A

CCB (di)

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11
Q

CCB (di)

A

blocks L calcium channels, more active in smooth muscle

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12
Q

CCB (di) treatment

A

hypertension, angina, Raynaud

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13
Q

CCB (di) side effect

A

cardiac depression, AV block, constipation

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14
Q

nimodipine

A

CCB - treats subarachnoid hemorrhage

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15
Q

nicardipine/clevidipine

A

CCB - treats hypertensive emergency

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16
Q

hydralazine mechanism

A

(hydro boat) increase in cGMP leading to smooth muscle relaxation, primarily dilates arteries

17
Q

hydralazine treatment

A
  • severe hypertension
  • HF
  • safe in pregnancy
18
Q

hydralazine side effects

A
  • compensatory tachy
  • Lupus-like
  • fluid retention
19
Q

nitroprusside

A
  • increase cGMP (nitro boat)
  • releases NO
  • CN toxic
20
Q

fenoldopam

A
  • dopamine agonist

- vasodilation, decrease BP, natruesis