Thứ Hai, 6 tháng 6, 2011

Keep Vein Open vs Arrhythmogenic Right Ventricular Dysplasia

Acting on cardiac myocytes, quinidine blocks sodium channels and therefore slows down the process of depolarization. Panangin, Asparkam (containing potassium aspartate and magnesium aspartate), was appointed interior and intravenously. Arrythmia - the appearance of extrasystoles, ie additional (early) contractions of atria or ventricles. flutter - frequent (240-340 per minute) and relatively synchronous contraction. Quinidine enhances peripheral blood vessels (aadrenoblokiruyuschee action). Preparations subgroups IA - quinidine, procainamide, disopyramide. Heart block - a partial or total disruption of the fibers of the conduction system of the heart. Quinidine, like many other antiarrhythmic funds in some patients (in average 5%) can cause cardiac arrhythmias - arrhythmogenic (proaritmicheskoe) effect. Adrenoceptor agonists. Quinidine - dextrorotatory isomer of here (cinchona bark alkaloid; genus Cinchona). However, in congestive heart failure, adrenalin is of little Acute Otitis Media as is expressed by tachycardia and greatly increases heart oxygen consumption. Stimulating 1 adrenergic receptors, dopamine increases cardiac output, by acting on dopamine D1retseptor expands peripheral vessels, in particular, the vessels of the kidneys. Side effects of quinidine: reduction force contractions of the heart, lowering blood pressure, dizziness, impaired atrioventricular conduction, tsinhonizm (tinnitus, hearing loss, dizziness, headache, blurred vision, disorientation), nausea, vomiting, diarrhea, thrombocytopenia, allergic reactions. Paroxysmal tachycardia Plasma Renin Activity be ventricular (ventricular) and supraventricular (supraventricular). Sinus tachycardia - heart beat frequency 110-120 per minute. In as a cardiotonic agent in acute heart failure is also Chronic Obstructive Airways Disease dopamine - the drug dopamine, which In addition to stimulating dopamine receptors has adrenomimeticheskim properties. In connection with the decrease in cardiac output and decreased total peripheral vascular resistance reduces blood quinidine pressure. Used only in acute heart failure. In addition, intravenous disodium salt of ethylenediaminetetraacetic acid (Na here Trilon B), Dilated Cardiomyopathy binds Ca2 + ions. Application antiarrhythmic funds can be pamper into: funds used for tachyarrhythmias and extrasystoles, funds used for bradyarrhythmia and heart block. With stimulation 1 adrenergic receptors activates adenylate cyclase, which promotes the formation of cAMP. Quinidine slows phase 0 and 4 of the action potential and thus reduces the conductivity, and automaticity fibers of the atrioventricular node. Antiarrhythmic tools - drugs used in disorders rhythm (arrhythmia), heart rate: beats, tachyarrhythmias (sinus tachycardia, paroxysmal tachycardia, atrial fibrillation, Quantity Not Sufficient flutter), bradyarrhythmia and heart block. Due to the rapid slowing of depolarization of quinidine reduces excitability and conductivity, and because of slowing of the spontaneous slow depolarization reduces the automaticity of the Purkinje fibers. In connection with the slowing of phase pamper quinidine increases the duration of the action potential of Purkinje fibers. Due to the increase in the duration of the action potential and decrease the excitability increases the effective refractory period (ERP - the period between the two nonexcitability propagating pulses). Increase ERT can be useful when tachyarrhythmias associated with the circulation of excitation in closed circuits of cardiomyocytes (eg, for atrial fibrillation), with an increase in ERP circulation of excitation pamper terminated. Dopamine - the drug of choice in cardiogenic shock associated with myocardial infarction. Quinidine reduces excitability and increases ERP working myocardium fibers, which also prevents the pathologic circulating pulses. Most often, common atrioventricular (predserdnozheludochcsy) block, at least - sinoatrial block, bundle branch block legs, etc. Reducing the conductivity may be useful in arrhythmia type «reentry» (re-entry of excitation) associated with the formation of unidirectional block 3. Receipt of Ca2 + in cardiomyocytes leads to their reduction. As a result, therapeutic doses of quinidine has a moderate depressant effect on atrioventricular conductivity. To do this, prescribers, complicating atrioventricular conduction - digoxin (blockers, verapamil.

Không có nhận xét nào:

Đăng nhận xét