What
types of medications are used to treat coronary artery disease?
The medications used to treat coronary artery
disease are employed to either augment the supply or reduce the demand for
myocardial oxygen. In order to overcome possible anatomic obstructions to
coronary artery blood flow by thrombus, anticoagulants or antiplatelet agents
are used, especially in the acute coronary setting. Medications that will
augment diastolic filling time include drugs that lower heart rate: β-adrenergic blockers and Ca2+ channel blockers.
Increases in ADP, and hence the driving pressure behind coronary perfusion, can
be achieved by using vaso-pressors. Reductions in LVEDP can be achieved using
nitrates, diuretics, and other venodilators (e.g., morphine). A single
intervention which augments aortic diastolic pres-sure and reduces LVEDP is
intra-aortic balloon counter-pulsation (Table 13.1).
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