Lecture 10: Drug Treatments for CVD Flashcards

1
Q

at what blood pressure is hypertension treatment required

A

150/95 mmHg

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2
Q

how dos the sympathetic system regulate frequency and force of heart contraction

A
  • beta 1 receptors
  • noradrenaline
  • increased cAMP
  • increased calcium
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3
Q

how does the parasympathetic system decrease frequency of contraction

A
  • M2 receptors
  • acetylcholine
  • decreased cAMP
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4
Q

what does angiotensin do

A
  • increases sympathetic activity
  • increases tubular sodium and chloride reabsorption
  • increases sodium and water retention
  • stimulates aldosterone secretion
  • constricts arterioles
  • stimulates ADH secretion
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5
Q

what are the steps of the renin-angiotensin-aldosterone system

A
  • decrease in renal perfusion detected by juxtaglomerular apparatus
  • increased renin which converts angiotensinogen to inactive angiotensin I
  • activated to active angiotensin II by ACE
  • acts on AT 1 recptors to increase sympathetic activity
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6
Q

how is the total peripheral resistance regulated

A
  • increase in angiotensin II
  • increase in IP3
  • increase in intracellular calcium
  • constricts arterioles and venules
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7
Q

which drugs would you prescribe for an under 55 year old with hypertension

A
  • ACE inhibitor

- angiotensin receptor blocker

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8
Q

which drugs would you prescribe for an over 55 year old with hypertension

A

calcium channel blocker

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9
Q

which drugs would you NOT prescribe to people of african descent

A
  • ACE inhibitors

- beta blockers

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