PHRM3011 Lecture Notes - Lecture 6: Diltiazem, Electrophysiology, Disopyramide
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Ace or arb or calcium channel blocker (first line) Thrombolytic + antiplatelets + acei + statin. Acei or arb + diuretic + beta blocker. May also add in anticoagulant or aspirin (ace or bb v/important) Thrombolytic + antiplatelets + beta blocker + acei or. Beta blocker or calcium channel blocker or nitrates (sometimes a combination of above) + antiplatelet + ace or arb + statin. Statins or fibrates or other lipid lowering drugs. Anti-arrhythmic drugs or beta blocker or calcium channel blocker + anticoagulants (sometimes a combination of above) Vitamin k antagonists or direct thrombin inhibitors or factor 10a antagonists. Dc shock when collapsed with no heart beat. Pacemaker more with bradyarrythmias give atropine or isoprenaline. Av node: calcium channel blocker verapamil, diltiazem, beta blockers, digoxin, adenosine. Atria, ventricles and accessory pathways (join atria and ventricles: disopyramide, amidodarone (ued when nothing else works, best but high rf"s, dronedarone flecainide.