Cardiovascular

Articles

Angiotensin-II Receptor Blockers
Treatment

Angiotensin-II Receptor Blockers

Angiotensin-II Receptor Blockers (ARBs) are a class of medications used to manage conditions such as high blood pressure (hypertension), heart failure, and certain kidney disorders. They work by blocking the effects of angiotensin II, a hormone that tightens blood vessels and increases blood pressure. By preventing angiotensin II from binding to its receptors, ARBs help relax blood vessels, improve blood flow, and reduce the strain on the heart. These medications are particularly valuable for individuals who cannot tolerate angiotensin-converting enzyme (ACE) inhibitors, a related group of drugs. ARBs are generally well-tolerated and have a lower risk of causing a persistent dry cough, a common side effect of ACE inhibitors. Common examples of ARBs include losartan, valsartan, and candesartan. These medications are usually prescribed as part of a broader treatment plan, which may include lifestyle changes like a healthy diet, regular exercise, and managing stress. ARBs play a key role in protecting organs such as the heart and kidneys, especially in individuals with diabetes or chronic kidney disease. Their long-term benefits and safety profile make them an important option in modern healthcare.

Angiotensin-Converting Enzyme (ACE) Inhibitors
Treatment

Angiotensin-Converting Enzyme (ACE) Inhibitors

ACE inhibitors, exclusively available through medical prescription, encompass a class of pharmacological agents that include ramipril, enalapril, lisinopril, perindopril, quinapril, fosinopril, imidapril, captopril, and trandolapril. Primarily recommended for adults dealing with high blood pressure (hypertension) and heart failure, certain ACE inhibitors can also cater to paediatric patients. These medications are available in various formulations, including tablets, capsules, and oral liquids.

Statins
Treatment

Statins

Statins are a type of medication that are classed as lipid-regulating medications. Lipids are fat compounds found in the body that include cholesterol and triglycerides. They are used for many important functions, but sometimes there is too much of a good thing! High levels of non-HDL cholesterol and triglycerides can lead to the build-up of fatty deposits in your arteries (known as atherosclerosis), increasing your risk of developing cardiovascular problems such as coronary heart disease, angina, heart attack or stroke. Therefore, taking a statin reduces this risk. Statins reduce the production of'bad cholesterol' (non-HDL cholesterol), and can also lower triglyceride levels and increase'good cholesterol' (HDL cholesterol) levels in your body. Statins work by inhibiting an enzyme in your body called HMG-CoA reductase. There are five statins available on prescription in the UK. These are atorvastatin, simvastatin, rosuvastatin, pravastatin, and fluvastatin.

Simvastatin: Managing Cholesterol
Treatment

Simvastatin: Managing Cholesterol

As a medical professional, it is important to understand the medications we prescribe to our patients. Simvastatin is one such medication that belongs to a group of drugs called statins. It is used to reduce cholesterol and triglyceride levels in the blood and lower the risk of developing cardiovascular diseases such as coronary heart disease, angina, heart attack, or stroke. In this article, we will discuss the important aspects of simvastatin, including its mechanism of action, who it is suitable for, how to take it, its potential side effects, and who should avoid taking it.

Beta-blockers
Treatment

Beta-blockers

Beta-blockers are a type of prescription medication that is used to reduce the activity of the heart. Primarily they come as tablets or capsules for most conditions, but they are also available as eye drops and liquid preparations, depending on their intended use. There are several types of beta-blocker, including propranolol, atenolol, labetalol, sotalol and bisoprolol, with each type having one or more brand names.

Atorvastatin: A powerful statin for cholesterol
Treatment

Atorvastatin: A powerful statin for cholesterol

Atorvastatin, available as tablets or chewable tablets and marketed as Lipitor, belongs to the statin class of medications. Statins are lipid-regulating drugs that target cholesterol and triglycerides. By reducing the production of "bad cholesterol" (non-HDL cholesterol) from the liver, atorvastatin helps lower triglyceride levels and increase "good cholesterol" (HDL cholesterol) in the body. This action reduces the risk of developing cardiovascular problems like coronary heart disease, angina, heart attack, or stroke. HDL cholesterol acts as a carrier, removing non-HDL cholesterol from arteries for elimination by the liver. Atorvastatin requires a prescription.

Aspirin
Treatment

Aspirin

Aspirin is an anti-inflammatory painkiller and antiplatelet. It tends to come in two different strengths: 300mg and 75mg (also known as baby aspirin). The 300mg dose is primarily used as a pain reliever, and the 75mg is used as an antiplatelet to help prevent blood clots forming in the body. Aspirin can come in many different formulations, including dispersible, gastro-resistant and regular tablets. When taken as a tablet, it is important that is taken with or after food as it can cause stomach irritation. It is also formulated as oral gels, heat rub-on gels and heat sprays. It can start to work within 20 to 30 minutes of taking it, or instantly with rub or spray-on formulations.

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