Cardiovascular Pharm Flashcards
What is an arrhythmia?
Any deviation from formal rhythm of heart
What is an Antiarrythimics?
Used for treatment and prevention of disturbances of cardiac rhythm.
What are Class I, II, III, and IV antiarrytmic drugs?
I: Na+ channel blockers.
II: beta-adrenergic receptor blockers.
III: K+ channel blockers
IV: Ca++ cannel blockers.
What are the 3 subtypes of Class I antiarrythmic drugs and their mechanism?
IA: Moderate Na+ Channel Block with prolinged repolarization.
IB: Mild Na+ blocker with shortened repolarization.
IC: Marked Na+ channel blocker.
What are examples of IA drugs?
Quinidine, Procainamide.
What are examples of IB drugs?
Lidocaine.
What are examples of IC drugs?
Flecainide, Propafenone.
What do each of the subclass type I do?
IA: Reduces automaticity, decreases conductive velocity, increase refractory period.
IB: Reduces automaticity at abnormal pacemakers.
IC: Reduces automaticity, decreases conductive velocity.
What do Class II antiarrythmic drugs do? Example drugs?
Block sympathetic stimulation of heart. Propranolol, Esmolol.
What do class III antiarrythmic drugs do? Example Drugs?
Reduces automaticity. Amiodarone, Dronedarone and Satalol.
What do Class IV antiarrythmic drugs do? Example drugs?
Treats hypertension, angina, and atrial arrythmias. Verapamil, Diltiazem.
What do Positive ionotorpic, positive chronotropic, and positive dromotropic drugs do?
- Ionotropic: Increase the force of myocardial contraction.
- Chronotropic: Increase heart rate.
- Dromotropic: Accelerate cardiac conduction.
What do Cardiac Glycosides do? Drug Examples?
Treats congestive heart failure by increaseing strength of myocardial contraction and slows ventricular rate. Examples are Digoxin and Digitalis.
What do antianginal drugs do? Mechanism? Drug examples?
Help with pain from hypoxic heart tissue. Reduce carida rate, cardiac force, peripheral resistance, and dilate coronary arteries.
- Calcium channel blockers
- Beta blockers
- Vasodilators
- Antiplalet drugs
- Ranolazine
What do statins do? Fibrates?
Lower lipids in the body.