Cardiovascular Drugs Flashcards
What is Hypertension?
Defined as a persistent systolic pressure of greater than 140 mmHG and/or a distolic pressure of greater than 90mmHg.
What are the goal of antihypertensive theraphy?
- Reduction of cardiovascular and renal morbidity and mortality
- Achieve a normal blood pressure.
- Individualized considering co-morbidities and impact of patient’s quality of life
What are the anti-hypertensive?
- Diuretics
- Adrenergic drugs
- Direct vasodilators
- ACE inhibitors
- Calcium channel blockers
- Direct renin inhibitors
- Angiotensin receptor blockers
What is diuretics?
Drugs that can accelerate the rate of urine frmation that results to the removal of sodium and water from the body.
What are adrenergic drugs?
- Central acting- acts on the brain by decreasing NE production
(Drugs: Clonidine, Methyldopa) - Peripheral acting- at the heart and blood vessels
(Drugs: Aplha and beta blockers)
What is the adverse effect of adrenergic drug?
- Postural hypotension
- Bradycardia
- Dry mouth
- Dizziness
What are the indications of ACEI?
- Hypertension
- Adjunct for heart failure
- Stop progression of LVH
Mechanism of action of Angiotensin II Receptor Blockers?
Block binding of Angiotension II to its receptors and primarily affects the vascular smooth muscle and adrenal gland.
What are the three types of calcium channel blocker (CCB)?
- Phenylalkylamines - Verapamil
- Benzothiazepines - Diltiazem
- Dihydroyrines - Amlodepine, Nicardepine, Nifedipine
What are the adverse effect of CCB?
- Hypotension
- Palpations
- Constipation
- Nausea
- Peripheral edema