Adverse Effects and Drug Interactions of ARBs and Aldosterone Receptor Antagonists
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Questions and Answers

Which adverse effects are commonly associated with a fixed-dose combination of agents used to improve symptoms and survival in black patients with HFrEF?

  • Insomnia, anxiety, palpitations
  • Joint pain, muscle weakness, fatigue
  • Nausea, vomiting, diarrhea
  • Headache, dizziness, hypotension (correct)

Why are positive inotropic agents used in heart failure with reduced ejection fraction (HFrEF) controversial?

  • They improve survival in HFrEF
  • They decrease cardiac output
  • They increase intracellular calcium concentration (correct)
  • They have no impact on cardiac contractility

Which drug is the only available agent among the digitalis glycosides group?

  • Digoxin (correct)
  • Enalapril
  • Lisinopril
  • Hydralazine

What is the main pharmacological target of angiotensin receptor blockers (ARBs)?

<p>Angiotensin receptors (A)</p> Signup and view all the answers

What is the primary therapeutic use of ACE inhibitors in heart failure treatment?

<p>Improving cardiac function (D)</p> Signup and view all the answers

Which adverse effect is rarely associated with hydralazine use?

<p>Drug-induced lupus (D)</p> Signup and view all the answers

Why are positive inotropic agents generally used for only a short period in patients with heart failure with reduced ejection fraction (HFrEF)?

<p>Because they reduce survival in HFrEF (B)</p> Signup and view all the answers

What is the term used to describe heart failure with reduced ejection fraction (HFrEF) resulting from the ventricle being unable to pump effectively?

<p>Systolic failure (C)</p> Signup and view all the answers

Which of the following is a direct detrimental effect on cardiac muscle caused by high levels of angiotensin II and aldosterone?

<p>Remodeling (D)</p> Signup and view all the answers

What is the main role of natriuretic peptides in heart failure?

<p>Inhibit renin release (D)</p> Signup and view all the answers

Which therapeutic strategy aims to reduce myocardial fibrosis and improve cardiac function in heart failure?

<p>Activation of angiotensin receptor blockers (ARBs) (D)</p> Signup and view all the answers

What is the term applied when the ability of the ventricles to relax and accept blood is impaired by structural changes such as hypertrophy?

<p>Diastolic dysfunction (B)</p> Signup and view all the answers

How does excessive elongation of heart muscle fibers affect contractions in heart failure?

<p>Weakens contractions (C)</p> Signup and view all the answers

Which hormone's release is inhibited as a beneficial response to the activation of natriuretic peptides in heart failure?

<p>Renin (A)</p> Signup and view all the answers

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