Tablets of bradycardia of the heart in hypertension

✔ Tablets of bradycardia of the heart in hypertension

Отзывы Tablets of bradycardia of the heart in hypertension

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Tablets for the treatment of cardiac bradycardia in patients with hypertension Bradycardia, defined as a heart rate below 60 PERC a gen per Minute in a resting state, may present in patients with arterial hypertension (high blood pressure), special challenges for the therapy. The combination of these two cardiovascular disorders requires a careful consideration of the pharmacological options to regulate both blood pressure and the heart rate adequately. Pathophysiological Contexts In patients with hypertension often drug therapy with blood pressure-lowering is initiated with the active ingredients. Some of these substances, in particular, non‑dihydropyridine of calcium antagonists (Verapamil, Diltiazem), and beta-blockers can, however, cause as a side effect of bradycardia or existing Bradycardia worse. This interaction complicates the therapy as an effective blood pressure control with the risk of a low heart rate can go hand in hand. Therapeutic options and tablets preparations The first therapeutic steps in the case of bradycardia associated with high blood pressure, the Review of current medication. Possibly a dose reduction or a switch to another blood pressure-lowering substances, have less influence on the heart rate, for example: Dihydropyridine of calcium channel blockers (e.g. amlodipine), ACE inhibitors (e.g., Ramipril, Enalapril), AT1‑receptor blocker (so-called Sartans, such as Losartan, Valsartan), Thiazide diuretics (e.g., hydrochlorothiazide). Specific drugs for the treatment of bradycardia If the bradycardia is symptomatic (e.g., dizziness, fatigue, loss of consciousness) and not only by an adjustment of the high blood pressure medication can be fixed, of special tablets in question, the heart rate increase: Atropine (in low doses): A Para-sympatholytic, the reduced the vagal inhibition of the sinus node. Is more likely to be used in acute cases. Theophylline, A Methylxanthine, which may produce a slight Chrono tropical effect and, in certain cases, in the case of chronic bradycardia apply. Terbutaline (in tablet form): A selective β 2 ‑Adrenoceptor Agonist that is used in exceptional cases, in order to increase the heart rate. Clinical Considerations and individual adjustment Standard therapy with tablets in bradycardia due to high blood pressure, there is not. The treatment must be individually tailored, taking into consideration: the cause of the bradycardia (functional, medication-related, structurally), the severity of the symptoms, the risk factors of the patient, other diseases (e.g., congestive heart failure, Diabetes mellitus). Conclusion The treatment of bradycardia with concomitant hypertension requires an approach to a balanced therapeutic. The first measure consists in the optimization of blood pressure-lowering medication. In the case of persistent symptomatic bradycardia special tablets may increase the heart rate to be used. A close Monitoring by the attending cardiologist or internist, is of crucial importance, in order to ensure adequate blood pressure as well as a safe heart rate.

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