Case Discussion What drugs are used to lower blood pressure and antiangina?

1.Angina pectoris is an acute disease caused by myocardial ischemia and hypoxia caused by insufficient blood supply to the coronary arteries. The pain may radiate to the left shoulder, the inner side of the left arm, the ring finger and little finger, or to the neck, pharynx, and jaw; Chest pain is compressive, stuffy, or constrictive and lasts for 3 to 5 minutes.

2.Causes: The arterial endothelium is attached by oxidized plaque, the lumen of the artery is narrowed, and blood flow is poor.

3.Commonly used drugs: nitroglycerin, propranolol, nifedipine, compound salvia dripping pills, fast-acting Xingxin pills, etc. are commonly used drugs for this disease.

4.Pharmacology: Temporarily dilates blood vessels and promotes blood circulation. At the same time, these drugs will have a great negative impact on the liver, kidney and other organs.

5.It can be seen from this that no matter what kind of drug, it will treat the symptoms but not the root cause, and there is no best medicine!

6.Unless it is addressed, the disease, which is the elimination of oxidized plaque in the arteries, will never be cured, and there is a tendency to get worse.

7.The substances of antioxidant plaque are: natural VC, VE, carotene, tea polyphenols, allicin, glutathione, peroxide dismutase, deep sea salmon oil, and a higher one: coenzyme Q10, grape seed extract. These are not drugs, but they are excellent.

8.The principle of hypertension is basically the same as above, and it is also due to a large amount of oxidized plaque in the vascular endothelium, resulting in narrowing of the arterial lumen and poor blood circulation.

9.When the human body declines in microcirculation, it will automatically regulate blood pressure and increase it, and the result of our harm to the body for several years or even more than ten years is that the blood pressure is getting higher and higher, unless the oxidized plaque is eliminated, the drug will be taken for life until the organ fails.

10.In order to meet your blind needs, the commonly used blood pressure medication is as follows, and the latter one seems to be quite suitable for you:

1) Diuretic and antihypertensive drugs At present, the diuretics used in high blood pressure are mainly thiazide diuretics and guanidine hydrochloride. The early antihypertensive effect of thiazide diuretics is related to diuresis, which reduces blood volume and extracellular fluid through the excretion of large amounts of water and sodium, and reduces cardiac output and blood pressure. Commonly used diuretic and antihypertensive drugs in clinical practice include hydrochlorothiazide, spironolactone, triamterene, etc.

2) Receptor-blocking hypertensive drugs can selectively bind to receptors in adrenal receptors, thereby preventing norepinephric neurotransmitters or exogenous adrenaline-mimetic drugs from binding to receptors to produce anti-adrenal effects. It is also divided into selective 1-receptor blockers (such as atenolol, metoprolol, etc.). In addition to antihypertensive effects, atenolol and metoprolol also have antiarrhythmic and antianginal effects, especially suitable for hypertensive patients with angina, myocardial infarction and tachycardia, and are well tolerated) and receptor blockers (such as labetalol, etc.).

Labetalol is effective for mild, moderate, and severe hypertension, and can also be used for hypertensive crisis**).

I'm in the same situation as you, and I add friends to discuss 312728160

a.Hydralazine.

b.Reserpine.

c.Prazosin is contained.

d.Clonidine.

e.Propranolol.

Correct Answer: Imitation Laughing A

Answer] :d nitrate bond and cryptodipine can inhibit the uptake of calcium ions by the myocardium, weaken the contractility of the myocardium, reduce the oxygen consumption of the myocardium, increase the coronary blood flow, and can also reduce blood pressure and improve cerebral circulation by dilating the peripheral blood vessels.

Answer: Yinji case] :d

High blood bridge trapping and stable angina are often combined with receptor blockers and sensitive pulse calcium channel blockers, metoprolol is a receptor blocker, and hypertension and myocardial infarction are often combined with calcium channel blockers and angiotensin-converting enzyme inhibitors.

Answer: E

Nitrates are commonly used to relieve angina pectoris, and are suitable for various types of angina. It can be used to relieve acute exacerbations, as a prophylactic drug, and as a diagnostic**. Nitroglycerin belongs to the nitrate group.

Isosorbide dinitrate is used for long-term coronary heart disease, prevention of angina, persistent angina pectoris after myocardial infarction, and cardiac glycosides and diuretics are used in combination with chronic heart failure and pulmonary hypertension.

a.Nifedipine.

b.Analbine.

c.Guanqing Qiliang Heart Comfort Capsule.

d.Quick-acting side trick pills.

e.Nitroglycerin.

Correct answer to the case of the Sparrow: e

For patients with angina pectoris and hypophysis with hypertension, it is best to use ()aProglycerin nitrate.

b.Propranolol.

c.Isosorbide dinitrate.

d.Isosorbide mononitrate.

Correct answer: B

Answer]: b When angina is attacked, nitrate preparations with a large and rapid effect should be used: nitrotriglycerin, 0 3 0 6mg, taken sublingually, effective in 1 2 minutes; Isosorbide nitrate, 5 10 mg, sublingual with a hole in the vertical administration, 2 5 minutes effective.

Therefore, B is selected for this question.