Cardiology Flashcards
(20 cards)
treatment of primary hypertension
- HTCZ
- ACE inhibitors/ARBS
- CCB
treatment of hypertension with heart failure
- diuretics
- ACE/ARBS
- beta blockers (careful)
- aldosterone agents
treatment of hypertension with diabetes
- ACEi/ARBs**
- others
treatment of hypertension in pregnancy
- hydralazine
- labetalol
- methyldopa
- nifedipine
CCBs (non di) mechanism
verapamil and diltiazem (vanilla and dark chocolate ice cream)
- block L type calcium channels
- more active in cardiac muscle
CCBs (non di) treatment
hypertension, angina, afib/flutter
CCBs (non di) side effects
edema, flushing dizziness, gingival hyperplasia
verapamil
CCB - non di
diltiazem
CCB - non di
-dipine druges
CCB (di)
CCB (di)
blocks L calcium channels, more active in smooth muscle
CCB (di) treatment
hypertension, angina, Raynaud
CCB (di) side effect
cardiac depression, AV block, constipation
nimodipine
CCB - treats subarachnoid hemorrhage
nicardipine/clevidipine
CCB - treats hypertensive emergency
hydralazine mechanism
(hydro boat) increase in cGMP leading to smooth muscle relaxation, primarily dilates arteries
hydralazine treatment
- severe hypertension
- HF
- safe in pregnancy
hydralazine side effects
- compensatory tachy
- Lupus-like
- fluid retention
nitroprusside
- increase cGMP (nitro boat)
- releases NO
- CN toxic
fenoldopam
- dopamine agonist
- vasodilation, decrease BP, natruesis
