L10 by uni - heart failure 2 Flashcards
how can drugs affect the Heart function
directly - force of coontraction or rate of rhythm
indirectly - blood vessels, blood vol
classes do drugs to treat heart failure
vasodilators
cardioinhibitory
duiretics
ionotrpoic - effect on contractily
fiest line therapy for HRrEF
ACE inhibitors, B-blockers, diuertics
role of beta blockers drugs
- bind to beta receptors so block NA and Adr
- reduce SNS activity
- ionotropy decreases for patients with systolic dysfunction
role of angiotensin converting enzyme (ACE) inhibitors
- inhibits production of angiotensin 2 so vasodilation is causes to decrease BP
role of angiotensin receptors blockers (ARB) for heart failure
blocks angio 1 so the heart muscle relaxes more
role fo diuetrics and types of it
- increase urine output by excreting more sodium to decrease BP
- loop diu
- thaizide
- potassium sparing diueteics
second line therapy for HRrEF
digitialis
entresto
ivabradine
role of digitialis as a drug fro hf
inhibit NA K pump to increase intra Na conc
-increase contracility
role of ivabradine
- reduces the Na current during the depol phase
- reduces HR
role of nitrodilators
- release NO
- increase vasodil