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Chapter 10

Cardiovascular Drugs: Antiarrhythmic and Heart Failure Drugs

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The cardiac rhythm, or heartbeat, results from coordinated contractions controlled by electrical signals. These signals originate in the SA node, which is …
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The cardiac function relies on synchronized electrical activity to maintain a regular rate and rhythm, ensuring effective hemodynamics. Any deviation …
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Antiarrhythmic drugs treat dysrhythmias by restoring normal cardiac function. They are categorized based on their electrophysiological effects. Class I …
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β-adrenergic stimulation increases intracellular Ca2+ influx and pacemaker currents, leading to arrhythmias. Class II antiarrhythmic drugs are …
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Class III antiarrhythmic drugs primarily act by blocking K+ channels or by blocking inactivated  Na+ channels. This prolongs the action potential and …
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Class IV antiarrhythmic drugs block open or inactivated voltage-sensitive L-type Ca2+ channels. Their actions are use-dependent and prevent repolarization …
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Cardiac performance depends on the heart rate, heart rhythm, myocardial contraction, and blood flow. The heart's rate and rhythm are regulated by a …
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Heart failure is a complex disorder characterized by the heart's inability to pump blood to meet the body's demands effectively. Its …
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Positive inotropic agents increase cardiac output in heart failure. These drugs enhance sarcomere contractility by elevating free cytosolic  Ca2+ …
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Heart failure reduces kidney perfusion, activating neurohumoral mechanisms, including RAAS. These mechanisms increase cardiac filling pressure, causing …
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In heart failure, continuous RAAS activation intensifies cardiac workload, causing fatal tissue remodeling if untreated. Heart failure pharmacotherapy …
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In heart failure, a decrease in blood pressure causes baroreceptors to trigger compensatory sympathetic mechanisms. These mechanisms increase heart rate …