充血性心衰治疗.pptVIP

Digitalis. Clinical Effects Improve symptoms Modest reduction in hospitalization Does not improve survival Digoxin toxicity Advanced A-V block without pacemaker Bradycardia or sick sinus without PM PVC’s and VT Marked hypokalemia W-P-W with atrial fibrillation Digoxin. Contraindications RENIN Angiotensinogen Angiotensin IANGIOTENSIN II  ACE Other pathways Vasoconstriction Proliferative Action Vasodilatation Antiproliferative Action AT1 AT2 AT1 Receptor Blockers RECEPTORS Angiotensin II Receptor Blockers (ARB) Candesartan, Eprosartan,