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Pharmacology

Calcium Channel Blockers in Ischemic Heart Disease

Only drugs which block L type of channels, which are large in conductance are effective. Nifedipine has different binding sites …

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Organic Nitrates

Mechanism of Action Nitrates are converted into NO by glutathione S transferrase Phosphorylation of myosin light chain is important along …

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Drug Treatment of Ischemic Heart Disease

Ischemic Heart Disease When the demand of oxygen by heart is more than the supply, it is known as ischemia. …

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Miscellaneous Antiarrhythmic Drugs

Adenosine Endogenous derivative of purine nucleotide.  Mechanism of Action Adenosine acts on the adenosine receptors. They are of various types: …

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Calcium Channel Blockers (Class IV Antiarrhythmics)

Calcium channel blockers are used in the treatment of arrhythmias and hypertension. Verapamil and Diltiazim have antiarrhythmic property. Calcium channel …

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Potassium Channel Blockers (Class III Antiarrhythmics)

Amiodarone The main drug is amiodarone, which is most commonly used as antiarrhythmic. It is effective in a wide range …

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Sodium Channel Blockers (Class 1 Anti-arrhythmics)

Sodium channel blockers are called so because they cause decreased influx of Na+ in cardiac cells, during phase 0. This …

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Antiarrhythmic Drugs

Cardiac Arrhythmias The abnormalities of cardiac rhythm which may arise from: a. Abnormality in automaticity –           Increased firing from pre-existing …

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Bipyridine Derivatives -Milrinone and Inamrinone

They act mainly by inhibiting phosphodiesterase, which has various isozymes. They specifically inhibit the phosphodiesterase 3 enzyme responsible for breakdown …

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Cardiac Glycosides -Digoxin and Digitoxin

Drugs which increase the efficiency of heart are called cardiotonic drugs. Efficiency is the ratio of oxygen consumption to work …

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