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Degenerative Mitral Valve Disease (view source)
Revision as of 17:34, 16 November 2010
, 17:34, 16 November 2010→Treatment
2. '''Reduce Afterload
2. '''Reduce Afterload
::Vasodilators to decrease systemic vascular resistance
::Vasodilators to decrease systemic vascular resistance
:::ACE inhibitors e.g. Enalapril, Benzapril, Imidopril ,
:::ACE inhibitors e.g. Enalapril, Benzapril, Imidopril
:::Pimobendan
:::Pimobendan
:::Calcium channel blockers e.g. Amlodipine
:::Calcium channel blockers e.g. Amlodipine
:::Nitrates e.g. Nitroprusside
:::Nitrates e.g. Nitroprusside
3. '''Enhance Systolic function
3. '''Enhance Systolic function
::Positive Inotropes to increase cardiac contractility and increase cardiac output.
::Positive inotropes to increase cardiac contractility and increase cardiac output (Pimobendan, Digoxin, Dobutamine, Xanthines)
4. '''Improve Diastolic function
4. '''Improve Diastolic function
::Negative Chronotropes to increase the length of diastole (digoxin, atenolol)
::Negative chronotropes to increase the length of diastole (Digoxin, Atenolol)
::Calcium channel blockers to improve relaxation (amlodipine)
::Calcium channel blockers to improve relaxation (Amlodipine)
5. '''Control cardiac arrhythmias using anti-arrhythmic drugs
5. '''Control cardiac arrhythmias using anti-arrhythmic drugs