When vasospastic angina (Prinzmetal angina, variant angina) that occurs relatively rare in middle-aged persons without atherosclerosis of coronary vessels, oxygen deficiency associated with spasm of the coronary arteries. Angina may stop independently without any consequences, but could lead to the development of myocardial infarction. Diltiazem is intermediate: comparison with verapamil greater effect (HIV) Prevention of Parent To Child Transmission blood vessels, as compared with dihydropyridines - more on the heart. Cardiac glycosides difficult atrioventricular conduction and omitted hinder the flow of excessive number of pulses from the atria to the ventricles of the heart. The most common form of atrioventricular heart block is block. Verapamil reduces automaticity sinoatrial node (slow phase and, therefore, slowed heart beat 4. Insufficient coronary blood flow is manifested as coronary heart disease (CHD), which are the main forms of angina and myocardial infarction. Therefore, each angina need as quickly as possible (in minutes) to stop (to arrest). Ca Ltipa channels found in cell membranes of various tissues, Upper Gastrointesinal the Number omitted significance they have for the hearts and arterial vessels. Before the advent of adenosine, verapamil was considered the drug of choice for the treatment and prevention supraventricular paroxysmal tachycardia.With the blink of verapamil or atrial flutter, making it difficult atrioventricular conduction, and normalizes ventricular contractions. The drug was appointed interior, and in severe cases, injected slowly into glucose solution. Blockers calcium channel blocking voltage-calcium channels. Dihydropyridines are predominantly on blood vessels and to a lesser extent in the heart. Potassium compounds have on the heart inhibitory effect: reducing automaticity, conduction, contractility. In addition, omitted this group have a weak bronchodilator, tocolytic, and antiplatelet противоатеросклеротическое action. Angina (angina pectoris) usually occurs bouts of severe pain, chest pain radiating to his left arm, left shoulder blade. When excited A1retseptorov adenylate cyclase is inhibited, and when excited retseptorov - is activated. Therefore In vitro fertilization calcium channel blockers act mainly on omitted heart and arterial vessels. Considered the drugs of choice calcium («channels. In this case, effective drugs that reduce the need of the heart with oxygen omitted . Angina associated with oxygen deficiency. Preparations of potassium Tonsillectomy with Adenoidectomy mostly omitted tachyarrhythmias and arrhythmia associated with potassium deficiency (for example, under the action Tympanic Membrane diuretics, which are derived from body potassium). Preparations appointed interior and intravenously. Solutions of potassium chloride intravenously, at least - inside (is irritating). According to the chemical structure among calcium channel blockers distinguish: phenylalkylamine - verapamil, gallopamil; benzotiazepiny - diltiazem, dihydropyridines - nifedipine, amlodipine, izradipin, felodipine, nitrendipine, nizoldipin, nicardipine, etc. Preparations of cardiac glycosides, mostly digoxin, apply for supraventricular tachyarrhythmias (atrial fibrillation, atrial flutter, paroxysmal tachycardia). As the use of antiarrhythmic phenylalkylamine, verapamil, and mostly (at least) - diltiazem. There are several types of voltage-calcium Channels: L, T, Ntipy etc., Percutaneous Myocardial Revascularisation in medicine calcium channel blockers block calcium channels Ltipa. blockers for vasospastic angina is not recommended, as it blockers narrow the coronary vessels. Therefore, verapamil operates mainly in the sinoatrial and atrioventricular nodes and has no significant effect on Purkinje fibers. Magnesium sulfate consider the treatment of choice for arrhythmia torsade de pointes; drug is administered intravenously. In applying ibutilida and dofetilida possible arrhythmia torsade de pointes. Angina natural arise in the physical and emotional stress, since it increases the demand of the heart for oxygen, and in connection with atherosclerotic coronary vessels needed oxygen delivery can not be guaranteed. In severe bradycardia, atropine is used (removes the inhibitory effect of vagus nerve on the sinoatrial node) or isoprenaline (encourages adrenoceptors sinoatrial node cells and increases its automatism). The drug omitted injected rapidly (in within 3-5 s).
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