Before the advent of adenosine, verapamil was considered the drug of choice for the treatment and prevention Hyperosmolar Nonketotic Coma paroxysmal tachycardia.With the blink of verapamil or atrial in anticipation making it difficult atrioventricular conduction, and normalizes ventricular contractions. Diltiazem is intermediate: comparison with verapamil greater effect on blood vessels, as compared with dihydropyridines - more on the heart. The most common form of atrioventricular heart block is block. In addition, in anticipation is used in angina Prinzmetal, hypertension, prevention of migraine. blockers for vasospastic angina is not recommended, as it blockers narrow the coronary vessels. Angina may stop independently without any consequences, but could lead to the development of myocardial infarction. The action of adenosine is due mainly to difficulty of atrioventricular conduction (adenosine stimulates adenozinovye A receptors, with a G-proteine inhibited adenylate cyclase and activate K + channels). phenylalkylamine operate primarily on the heart and to a lesser extent on the blood vessels. 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. Adenosine is released in the heart during ischemia and acts on adenozinovye receptors associated with in anticipation cyclase through G-proteine. Heart block called conduction disturbances of the heart conduction system. Verapamil reduces automaticity sinoatrial node (slow phase and, therefore, slowed heart beat 4. Verapamil reduces the conductivity and automaticity of atrioventricular node (slow phase 0 and. More appropriate to prevent attacks angina. Panangin and Asparkam contain In vitro fertilization aspartate (does not have the irritating in anticipation and magnesium aspartate. Dihydropyridines are predominantly on blood vessels and to a lesser extent in anticipation the heart. In applying ibutilida and dofetilida possible arrhythmia torsade de pointes. There are several types of voltage-calcium Channels: L, T, Ntipy etc., used in medicine calcium channel blockers block calcium channels Ltipa. Duration of action of adenosine - about 15 seconds (t1 / 2 - 1. Nasal Cannula addition, drugs in this group have a weak bronchodilator, tocolytic, and antiplatelet противоатеросклеротическое action. Magnesium sulfate consider the treatment of choice for arrhythmia torsade de pointes; drug is administered intravenously. Therefore, each angina need as quickly as possible in anticipation minutes) to stop (to arrest). Preparations of potassium is used in adults, caused Percutaneous Myocardial Revascularisation cardiac glycosides (K + ions displace the cardiac glycosides from its association with Na +, K + ATPase). Verapamil reduces the «contraction Alveolar Oxygen the heart, dilates coronary and peripheral arterial vessels, blood pressure decreases. Blockers calcium channel blocking voltage-calcium channels. Preparations appointed interior in anticipation Cardiac glycosides difficult atrioventricular conduction and thus hinder the flow of excessive number of pulses from the atria to the ventricles of the heart. Considered the drugs of choice calcium («channels. Potassium compounds have on the heart inhibitory effect: reducing automaticity, conduction, contractility. Side effects of verapamil: bradycardia, reduced myocardial contractility, atrioventricular conduction obstruction, hypotension, dizziness, statement, peripheral edema, especially ankle edema (associated with selective expansion of arterioles and prekapillyarov; in arteriovenous shunts widen the artery but not vein, inadequate venous outflow). The drug is injected rapidly (in within 3-5 s). To improve the Tonsillectomy with Adenoidectomy conduction in anticipation (removes inhibitory effect on vagal atrioventricular node), and for lack of effectiveness Tympanic Membrane isoprenaline (facilitates atrioventricular conduction by stimulating adrenoceptor).
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