Coronary Circulation Quiz
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Questions and Answers

What is the primary function of the coronary circulation?

  • To remove waste products from the blood
  • To regulate heart rate
  • To supply the heart muscle with oxygen and nutrients (correct)
  • To distribute hormones throughout the body

Which artery branches off the aorta and supplies blood to the heart's left side?

  • Left circumflex artery (correct)
  • Pulmonary artery
  • Right marginal artery
  • Coronary sinus

Which condition is likely to increase heart rate?

  • Sedentary behavior
  • High levels of hydration
  • Elevated body temperature (correct)
  • Reduced environmental temperature

Where does the right coronary artery primarily travel?

<p>Along the right AV sulcus (C)</p> Signup and view all the answers

What are anastomoses in the coronary circulation?

<p>Direct connections between small branches of coronary arteries (C)</p> Signup and view all the answers

What is one benefit of collateral circulation?

<p>Alternative blood supply if a major artery is obstructed (D)</p> Signup and view all the answers

What role does aerobic exercise play in coronary circulation?

<p>It promotes the development of collateral channels (A)</p> Signup and view all the answers

What type of blood flows through the left anterior descending artery?

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

What causes heart sounds during the cardiac cycle?

<p>Valve closure (C)</p> Signup and view all the answers

What is the relationship between the pressures in the left ventricle and the aorta during blood pumping?

<p>Left ventricular pressure must be greater than diastolic pressure in the aorta (C)</p> Signup and view all the answers

What is the significance of collateral circulation?

<p>It enhances oxygen supply to heart tissues (B)</p> Signup and view all the answers

What indicates a pulse deficit?

<p>Higher apical pulse rate than radial pulse rate (C)</p> Signup and view all the answers

During which phase of the cardiac cycle is the 'lubb' sound produced?

<p>At the start of ventricular systole (A)</p> Signup and view all the answers

How does an electrocardiogram contribute to understanding heart function?

<p>Provides information about electrical activity (A)</p> Signup and view all the answers

Which measurement reflects the volume of blood pumped per minute by the heart?

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

What happens if the right ventricle pumps more blood into pulmonary circulation than the left ventricle into systemic circulation?

<p>Increased pulmonary pressure and congestion (C)</p> Signup and view all the answers

What function does the heart perform in the cardiovascular system?

<p>Pumps circulating blood through the body (C)</p> Signup and view all the answers

Which structure separates the atria from the ventricles?

<p>Atrioventricular valves (C)</p> Signup and view all the answers

What is the role of the pericardial sac?

<p>To protect and facilitate the movements of the heart (A)</p> Signup and view all the answers

Which type of muscle is found in the heart?

<p>Cardiac muscle (B)</p> Signup and view all the answers

What effect can hypertension have on the body?

<p>Kidney dysfunction, among others (A)</p> Signup and view all the answers

What connects cardiac muscle fibers and allows rapid transmission of impulses?

<p>Intercalated discs (B)</p> Signup and view all the answers

What characteristic distinguishes the left ventricle from the right ventricle?

<p>It has a thicker wall (C)</p> Signup and view all the answers

Which part of the heart ensures one-way blood flow?

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

What part of the heart is directly responsible for initiating cardiac contractions?

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

What is the primary risk associated with hypertensive conditions?

<p>Risk of heart attack or stroke (C)</p> Signup and view all the answers

What is the primary phase of the cardiac cycle where the heart is in relaxation?

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

During which phase do the AV valves close due to increased pressure in the ventricles?

<p>Isovolumetric contraction (B)</p> Signup and view all the answers

What happens immediately after the ventricles begin to contract?

<p>AV valves close (B)</p> Signup and view all the answers

Which option correctly describes the state of all valves during the isovolumetric phase?

<p>All valves are closed (C)</p> Signup and view all the answers

What role do the semilunar valves play during the systolic phase of the cardiac cycle?

<p>Prevent backflow into the ventricles (B)</p> Signup and view all the answers

What may happen if there is a blockage in the left coronary artery?

<p>Impaired left ventricle pumping leading to congestive heart failure (B)</p> Signup and view all the answers

Which of the following best describes the atria’s role during the cardiac cycle?

<p>They fill with blood and assist in ventricular filling. (A)</p> Signup and view all the answers

What occurs during the ventricular relaxation phase of the cardiac cycle?

<p>Ventricles empty and aortic and pulmonary valves close (C)</p> Signup and view all the answers

What is defined as the pressure exerted by blood when ejected from the left ventricle?

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

Which of the following factors does NOT affect blood pressure?

<p>Skin Temperature (C)</p> Signup and view all the answers

How is blood pressure typically measured?

<p>With a sphygmomanometer (C)</p> Signup and view all the answers

What happens to blood pressure if the diameter of blood vessels decreases?

<p>Blood pressure increases (A)</p> Signup and view all the answers

What is the formula for calculating cardiac output?

<p>CO = HR $ imes$ SV (A)</p> Signup and view all the answers

What effect does systemic vasoconstriction have on blood pressure?

<p>It increases blood pressure (A)</p> Signup and view all the answers

What does pulse pressure represent?

<p>The difference between systolic and diastolic pressures (A)</p> Signup and view all the answers

What is the primary function of the sinoatrial (SA) node in the cardiac conduction system?

<p>To generate impulses and set the heart rate (C)</p> Signup and view all the answers

Which of the following is a factor that affects cardiac output?

<p>Heart Rate (C)</p> Signup and view all the answers

What is the purpose of the delay at the AV node?

<p>To enable complete ventricular filling (A)</p> Signup and view all the answers

Which component of the cardiac conduction system is responsible for carrying impulses to the ventricles?

<p>AV bundle (bundle of His) (B)</p> Signup and view all the answers

Which wave in an ECG represents ventricular depolarization?

<p>QRS wave (B)</p> Signup and view all the answers

How do sympathetic and parasympathetic systems affect heart rate?

<p>Sympathetic stimulation increases heart rate, while parasympathetic stimulation decreases it. (A)</p> Signup and view all the answers

What role do baroreceptors play in the cardiac control system?

<p>They detect changes in blood pressure. (B)</p> Signup and view all the answers

What effect do beta blockers have on the heart?

<p>They prevent increases in rate and contraction force. (B)</p> Signup and view all the answers

What happens during the T wave of an ECG?

<p>Ventricular repolarization occurs. (B)</p> Signup and view all the answers

What is a significant cause of morbidity and mortality in North America?

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

Which test is primarily used for diagnosing arrhythmias and myocardial infarctions?

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

What is one of the common heart conditions mentioned?

<p>Hypertensive heart disease (C)</p> Signup and view all the answers

Which test is used to evaluate the shape and size of the heart?

<p>Chest X-ray (B)</p> Signup and view all the answers

Which preventive measure is NOT recommended for heart disease?

<p>Increased alcohol consumption (B)</p> Signup and view all the answers

What does echocardiography use to create images of the heart?

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

What type of test evaluates cardiovascular function through physical activity?

<p>Exercise stress tests (A)</p> Signup and view all the answers

Which test records sounds resulting from heart activity?

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

What is the primary purpose of coronary angiography?

<p>To visualize and identify blockages in coronary arteries (D)</p> Signup and view all the answers

What does a significant elevation in troponin levels indicate?

<p>Severe cardiac muscle damage (A)</p> Signup and view all the answers

Which of the following interventions is NOT a part of general treatment measures for cardiac disorders?

<p>Increasing alcohol consumption (C)</p> Signup and view all the answers

What role does machine learning play in ECG interpretation?

<p>It offers more precise interpretations than trained physicians (D)</p> Signup and view all the answers

Which of the following blood tests would be essential for determining a patient's acid-base balance?

<p>Arterial blood gas analysis (B)</p> Signup and view all the answers

Which of the following dietary changes is recommended for improving heart health?

<p>Reducing sodium intake (C)</p> Signup and view all the answers

What therapeutic interventions can be performed during coronary angiography?

<p>Breaking down blood clots with thrombolytic agents (B)</p> Signup and view all the answers

Regular exercise is beneficial for cardiovascular function because it can

<p>Lower lipid levels and increase HDL (A)</p> Signup and view all the answers

What is a common side effect of using vasodilators like nitroglycerin?

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

Which of the following medications is categorized as a beta blocker?

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

What is the primary action of calcium channel blockers like amlodipine?

<p>Decrease cardiac contractility (A)</p> Signup and view all the answers

What is a major risk associated with digoxin therapy?

<p>Toxicity at effective doses (A)</p> Signup and view all the answers

Which medication class is considered preferred for managing hypertension and congestive heart failure (CHF)?

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

What is the primary effect of angiotensin II receptor blockers like losartan?

<p>Lower blood pressure (A)</p> Signup and view all the answers

Which of the following medications removes excess sodium and water through the kidneys?

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

What is a common use for anticoagulants like warfarin?

<p>Reduce risk of clot formation (C)</p> Signup and view all the answers

Which adverse effects are commonly associated with Metoprolol?

<p>Dizziness and fatigue (B)</p> Signup and view all the answers

What is the primary action of Warfarin?

<p>Inhibits vitamin K synthesis for clotting (A)</p> Signup and view all the answers

Which drug is used specifically for treating angina attacks?

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

What condition is Digoxin primarily used to treat?

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

Which drug class does Simvastatin belong to?

<p>Cholesterol-lowering drugs (C)</p> Signup and view all the answers

What adverse effect is associated with the use of Nifedipine?

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

Which of the following statements about Apixaban and similar drugs is true?

<p>They are oral blood thinners (B)</p> Signup and view all the answers

What is a common adverse effect of using Furosemide?

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

Flashcards

Sinoatrial (SA) Node

Specialized tissue in the right atrium that initiates heartbeats, often called the pacemaker of the heart.

Sinus Rhythm

The rate at which the SA node generates impulses, which is typically around 70 beats per minute.

Atrial Conduction Pathways

The pathway that electrical impulses travel through to cause atrial contraction.

Atrioventricular (AV) Node

The only connection between the atria and ventricles, acting as a gatekeeper for electrical impulses.

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AV Bundle (Bundle of His)

The bundle of specialized conductive fibers that transmit impulses from the AV node to the ventricles.

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Purkinje Fibers

The network of fibers that distribute electrical impulses to the ventricular muscle, ensuring coordinated contraction of both ventricles.

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Cardiac Control Center

The part of the brain that regulates the heart rate and force of contraction.

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Electrocardiogram (ECG)

A recording of the electrical activity of the heart, using electrodes placed on the body's surface.

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Cardiovascular system interaction

The cardiovascular system works with all other systems in the body. This means that problems in the cardiovascular system can affect other systems.

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Hypertension and its effects

High blood pressure, also known as hypertension, can lead to various health problems.

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Heart's role in circulation

The heart is a powerful pump that circulates blood throughout the body, both to the lungs (pulmonary circulation) and the rest of the body (systemic circulation).

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Heart location and pericardium

The heart is located in the mediastinum, a space between the lungs, and is encased in a protective double-walled sac called the pericardium.

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Pericardium layers

The pericardium has two layers: the outer fibrous pericardium and the inner visceral pericardium (epicardium). These layers provide protection and lubrication for the heart.

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Heart muscle layers and contraction

The myocardium, the middle layer of the heart, is composed of specialized muscle cells that contract rhythmically to pump blood. The left ventricle wall is thicker than the right because it pumps blood to the entire body.

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Heart's innermost layer (endocardium)

The endocardium, the innermost layer of the heart, forms the heart valves, crucial for ensuring that blood flows in one direction.

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Atrioventricular (AV) valves

The atrioventricular (AV) valves, tricuspid (right) and mitral/bicuspid (left), separate the atria and ventricles.

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Semilunar valves

The semilunar valves, aortic and pulmonary, are located at the exit of the ventricles and control blood flow to the aorta and pulmonary artery.

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Heart septum

The septum divides the left and right sides of the heart, keeping oxygenated and deoxygenated blood separate.

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Cardiac output

The volume of blood ejected per minute. It depends on heart rate and stroke volume.

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Pulse deficit

The difference between apical and radial pulse. It can indicate poor heart function.

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Heart sounds

The sound of heart valves closing 'Lubb' (AV valve) at the start of ventricular systole and 'Dupp'(semilunar valve) at the end of ventricular systole.

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Pressure and Blood flow

The pressure in the left ventricle must exceed the diastolic pressure in the aorta for blood flow to the body.

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Pause between atrial and ventricular contraction

The pause allows time for the atria to contract and fill the ventricles before the ventricles contract and pump out blood.

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Collateral circulation

The network of blood vessels that can provide alternate routes for blood flow if a major artery is blocked.

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Heart murmurs

Abnormal sounds in the heart, often caused by defective valves or holes in the heart.

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Pulse measurement

The measurement of the heart rate by feeling the pulse at an artery, typically at the wrist.

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What are the coronary arteries?

The two main arteries that supply blood to the heart muscle. They branch off the aorta, the main artery carrying blood away from the heart.

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What are the branches of the left coronary artery?

The left coronary artery splits into two arteries: the left anterior descending (LAD) artery, which is located on the front of the heart, and the left circumflex artery, which wraps around the heart.

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What are the branches of the right coronary artery?

The right coronary artery branches into the right marginal artery and posterior interventricular artery. These arteries supply blood to the right side of the heart and the back of the heart.

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What is collateral circulation?

The process where small blood vessels connect to form an alternative path for blood flow in case of a blockage in a major artery. It ensures a steady supply of blood to the heart muscle even if an artery gets blocked.

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What are anastomoses?

Direct connections between small blood vessels, especially near the heart's tip (apex), that provide alternative paths for blood flow.

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How does body temperature affect heart rate?

Increased body temperature, such as during exercise or fever, can make the heart beat faster to deliver more blood to the body.

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How does exercise affect heart rate?

Physical activity or exertion increases heart rate to deliver more oxygen and nutrients to working muscles.

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How does exercise help the coronary arteries?

Regular aerobic exercise helps build collateral circulation by creating more connections between small blood vessels. This improves the heart's ability to deliver blood and oxygen.

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Diastole

The phase of the cardiac cycle where the heart muscle relaxes and fills with blood.

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Systole

The phase of the cardiac cycle where the heart muscle contracts and pumps blood out.

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Isovolumetric Contraction

The period during the cardiac cycle where all four heart valves are closed and the ventricles are contracting.

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Congestive Heart Failure

A condition where the heart's ability to pump blood effectively is impaired, often due to issues with the left ventricle. This can lead to fluid buildup in the body.

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Blood Pressure

The pressure exerted by blood against the walls of arteries; measured as systolic and diastolic pressures.

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Systolic Pressure

The higher number in a blood pressure reading, reflecting the pressure when the heart contracts.

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Diastolic Pressure

The lower number in a blood pressure reading, reflecting the pressure when the heart relaxes.

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Peripheral Resistance

The force opposing blood flow, caused by friction between blood and vessel walls.

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Stroke Volume

The volume of blood ejected from the left ventricle per heartbeat.

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Vasoconstriction Impact on Blood Pressure

Increased blood pressure due to constriction of blood vessels, primarily arterioles.

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Vasodilation Impact on Blood Pressure

Decreased blood pressure due to dilation of blood vessels, primarily arterioles.

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Echocardiography

A test that utilizes ultrasound waves to create images of the heart, providing detailed information about valvular abnormalities, congenital defects and structural changes in the heart.

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Exercise Stress Test

An assessment of overall cardiovascular function by evaluating the heart's response to exercise, often used in fitness programs.

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Nuclear Imaging

A test that utilizes radioactive substances to assess the size of an infarcted area in the heart, myocardial perfusion, and function.

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Auscultation

Detecting heart murmurs with a stethoscope, which can indicate valvular abnormalities or abnormal blood shunts.

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Phonocardiography

A test that records sounds produced by heart activity, helping diagnose heart conditions.

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Chest X-ray

A test used to evaluate the shape and size of the heart and check for pulmonary congestion, a sign of heart failure.

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Heart Disease Prevention

A series of preventive measures aimed at reducing the risk of heart disease, including healthy diet, regular exercise, and smoking cessation.

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Coronary Angiography

A procedure where a catheter is inserted into a blood vessel, guided to the heart, and contrast dye is injected to visualize blood flow through the coronary arteries.

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Troponin Blood Test

A blood test that measures the levels of troponin, a protein released from damaged heart muscle. Higher troponin levels indicate greater damage.

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ECG Interpretation with AI

A specialized machine learning program designed to analyze ECG results, providing potential more accurate interpretation compared to human physicians.

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Angioplasty

A procedure performed during coronary angiography to open narrowed coronary arteries, often involving the use of a balloon catheter.

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Dietary Modifications for Heart Health

Dietary changes focused on reducing total fat intake (especially saturated and 'trans' fats), decreasing sodium consumption, and general weight loss.

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Exercise for Heart Health

Regular physical activity greatly improves cardiovascular function, circulation, and can help lower lipid levels, increase good cholesterol (HDL), and reduce stress.

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Smoking Cessation and Heart Health

Smoking significantly increases the risk of coronary artery disease. Quitting smoking drastically reduces the risk.

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Medications for Heart Health

Medications play a crucial role in managing various heart conditions, offering treatment solutions for diverse cardiac diseases.

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Coronary Artery Disease (CAD)

A condition affecting the coronary arteries, also known as coronary heart disease, that includes angina pectoris, temporary cardiac ischemia, and myocardial infarction (MI, or heart attack). MI damages part of the heart muscle due to obstruction in a coronary artery and results in insufficient oxygen supply to the heart muscle.

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Cholesterol-Lowering Drugs (Statins)

Drugs like simvastatin (Zocor) and atorvastatin (Lipitor) prescribed to lower high cholesterol levels when diet and exercise aren't enough.

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Metoprolol (Lopressor)

A medicine that blocks the beta-adrenergic receptors, resulting in a slower heart rate. It is used to treat hypertension, angina, and arrhythmias.

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Nitroglycerin

This drug acts as a vasodilator, widening blood vessels to improve blood flow to the heart and treat angina. It also helps with hypertension.

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Enalapril (Vasotec)

This medicine helps reduce blood pressure by inhibiting the formation of angiotensin II, a powerful vasoconstrictor.

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Nifedipine (Adalat)

A drug that widens blood vessels, often used for angina, hypertension, and in some cases, arrhythmias.

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Digoxin (Lanoxin)

A drug that helps strengthen contractions of a weak heart muscle and is used for heart failure and certain arrhythmias.

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Furosemide (Lasix)

A powerful diuretic that helps eliminate excess fluid and sodium, commonly used for edema (swelling) and high blood pressure.

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Vasodilators

Drugs that expand blood vessels, reducing resistance and workload on the heart, often used for chest pain (angina).

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Beta Blockers

Medications that block beta-adrenergic receptors in the heart, slowing down heart rate and reducing blood pressure.

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Calcium Channel Blockers

Drugs that block calcium from entering heart and smooth muscle cells, reducing heart contractility and relaxing blood vessels.

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Digoxin

A cardiac glycoside that increases heart contractility and improves efficiency, but has a narrow safety margin.

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ACE Inhibitors

Drugs that block the conversion of angiotensin I to II, a potent vasoconstrictor, lowering blood pressure.

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Angiotensin II Receptor Blockers

Drugs that directly block angiotensin II from binding to its receptors in blood vessels, reducing blood pressure.

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Diuretics

Drugs that help remove excess sodium and water from the body through the kidneys, often used for high blood pressure and heart failure.

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Anticoagulants (Blood Thinners)

Medications that reduce the risk of blood clot formation by interfering with normal clotting mechanisms.

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