血管运动障碍患者的药物治疗
C K M Boerhout1, R G T Feenstra1, T P van de Hoef1,2
1Heart Center, Amsterdam UMC, Amsterdam, the Netherlands.
International journal of cardiology. Heart & vasculature
|September 20, 2023
概括
非阻塞性冠状动脉疾病中的心痛通常是由于冠状动脉血管运动障碍引起的. 冠内功能测试有助于诊断,虽然证据有限,但药物治疗可以改善患者的生活质量.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
背景情况:
- 在非阻塞性冠状动脉疾病 (CAD) 中,胸痛症状经常与冠状动脉血管运动障碍有关.
- 这些疾病虽然经常被忽视,但可以通过冠状动脉功能测试来诊断.
- 早期发现和治疗被认为是有益的,但医学治疗的证据很少.
研究的目的:
- 探索Angina和非阻塞性CAD患者血管运动障碍的可用药物治疗策略.
- 为异常血管收缩和血管扩张提供治疗选择的全面概述.
主要方法:
- 进行了广泛的,非系统的文献搜索.
- 搜索的重点是冠状动脉血管运动障碍的药物治疗策略.
主要成果:
- 该审查涵盖了冠状动脉和冠状动脉微血管功能障碍等疾病的治疗可能性.
- 讨论了针对这些疾病的具体药物治疗选择.
结论:
- 治疗冠状动脉血管运动障碍存在挑战.
- 整合当前证据和实践的一般治疗算法是可行的管理这些患者.
相关概念视频
Adrenergic Agonists: Therapeutic Uses
840
Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies.
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
840
Adrenergic Agonists: Therapeutic Classification
856
Adrenergic agonists can be classified based on their therapeutic uses and mechanisms of action. They serve various purposes in clinical applications.
Vasopressor or pressor agents: They increase blood pressure and function as cardiac stimulants. Examples include endogenous catecholamines (norepinephrine and dopamine) and synthetic agents (phenylephrine).
Bronchodilators: β2-agonists can relax bronchial muscles and widen airways. They are commonly used for treating obstructive pulmonary...
Vasopressor or pressor agents: They increase blood pressure and function as cardiac stimulants. Examples include endogenous catecholamines (norepinephrine and dopamine) and synthetic agents (phenylephrine).
Bronchodilators: β2-agonists can relax bronchial muscles and widen airways. They are commonly used for treating obstructive pulmonary...
856
Antihypertensive Drugs: Vasodilators
565
Vasodilators, primarily affecting the smooth muscles within arterial and venous walls, are commonly used for hypertension treatment. Medications such as minoxidil and hydralazine primarily target arteries and arterioles, while sodium nitroprusside acts on arterioles and venules. Minoxidil, functioning as a prodrug, is metabolized by hepatic sulfotransferase into its active form, minoxidil sulfate, after oral administration. This metabolite binds to the sulfonylurea receptor (SUR) component of...
565
Adrenergic Antagonists: Pharmacological Actions of β-Receptor Blockers
886
β-receptor blockers significantly impact the cardiovascular system by counteracting catecholamine-induced sympathetic responses. These medications decrease heart rate, contractility, and cardiac output, potentially leading to cardiac depression, life-threatening bradycardia, and death. Therapeutically, β-blockers function as mild antihypertensives and are utilized in treating angina pectoris and cardiac arrhythmias. However, nonselective β-blockers inhibit β2-receptors in...
886
Cholinergic Antagonists: Therapeutic Uses
775
Antimuscarinic drugs have various therapeutic applications by inhibiting parasympathetic stimulation in different systems. Here are the key therapeutic uses of antimuscarinics:
Respiratory Tract: Ipratropium, aclidinium, and tiotropium treat asthma, chronic bronchitis, and chronic obstructive pulmonary disease (COPD). They protect against bronchoconstriction caused by irritants like cigarette smoke, sulfur dioxide, and ozone. They also help reduce nasopharyngeal...
Respiratory Tract: Ipratropium, aclidinium, and tiotropium treat asthma, chronic bronchitis, and chronic obstructive pulmonary disease (COPD). They protect against bronchoconstriction caused by irritants like cigarette smoke, sulfur dioxide, and ozone. They also help reduce nasopharyngeal...
775
Heart Failure Drugs: β-Blockers
363
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
363


