pharm of angina Flashcards
nitrates MOA
increased CGMP… vasoactivate» ventilation, increase coronary flow short term
net effect of nitrates
decreased MO2 demand (decrease afterload/preload)
side effects of nitrates
increase tachycardia/inotroped
nitrate interaction
sildenafil, increase cGMP levels, combo leads to massive dilation
beta blocker net effect
decrease MO2 demand, decrease HR, BP, contractility,
anti anginal BP effects
increase exercisee toll, decrease HR at rest and exercise, SNAs contention
Non Dih CCB
myocardial effect, vasodilatie, electro effect (increase conduction time, decrease HR) (AV block)
Dihydropine CCB
increased effect on vascular SM tone, tissue selective, no electro (ambled)
net effect of CCB
decrease HR (Non), BP, contract
what drugs decrease HR
non di CCB, BB,
treatment for variant antina
nitrate, CBB
combo therapys
long nitro and BB, BB and dished CCB
DONT USE THESE COMBOS
BB and no dishy, long act nitrates and dishy CCB