14 träffar

DrugACE inhibitor
Enalapril

…ACE inhibitor Prodrug hydrolysed to enalaprilat. Reduces mortality in heart failure with reduced ejection fraction — the effect is dose-dependent, and underdosing is more often…

DrugSelective If-channel inhibitor in the sinus node
Ivabradine

…symptomatic patient with HFrEF who remains above 70 beats per minute despite maximally tolerated beta-blockade, where SHIFT demonstrated reduced risk of heart failure hospitalisation.

DrugLong-acting dihydropyridine calcium channel blocker
Amlodipine

…no clinically significant negative inotropic effect and can therefore be used in heart failure with reduced ejection fraction when blood pressure or angina requires it…

DrugHighly selective β₁-blocker
Bisoprolol

…most β₁-selective of the routinely used beta-blockers, with documented mortality benefit in heart failure from CIBIS-II. Bioavailability is close to 90 % and…

DrugAngiotensin II receptor blocker (ARB)
Candesartan

…in heart failure (CHARM), and the first choice when an ACE inhibitor must be switched due to cough. The target dose in heart failure is…

DrugSGLT2 inhibitor
Dapagliflozin

…extends well beyond the diabetes indication. DAPA-HF demonstrated reduced cardiovascular death and worsening heart failure with reduced ejection fraction, DELIVER showed equivalent benefit with…

DrugNon-selective COX inhibitor with COX-2 predominance, phenylacetic acid derivative
Diclofenac

…and heart failure resembles that of selective COX-2 inhibitors and is seen already at doses below 100 mg/day and with short treatment duration…

DrugSGLT2 inhibitor
Empagliflozin

…2 diabetes in EMPA-REG OUTCOME, reduced heart failure events regardless of ejection fraction in EMPEROR-Reduced and EMPEROR-Preserved, and slowed renal function decline…

DrugSelective serotonin reuptake inhibitor (SSRI)
Escitalopram

…depression and generalised anxiety disorder. What governs dosing is not efficacy but the heart: a dose-dependent QT prolongation was identified, and the maximum dose…

DrugUltra-short-acting β₁-selective blocker
Esmolol

…20–30 minutes after the infusion ends, it is useful in patients where beta-blockade is desirable but risky — impending heart failure, obstructive lung disease…

DrugNon-selective β₁- and β₂-agonist without alpha effect
Isoprenaline

…vessels — completely without alpha effect. The result is that heart rate rises while systemic vascular resistance and diastolic blood pressure fall, so the drug raises…

DrugClass IC antiarrhythmic
Flecainide

Tambocor Class IC antiarrhythmic A potent sodium channel blocker with marked efficacy on atrial arrhythmias in structurally normal hearts. The CAST trial showed increased mortality…

DrugSelektiv serotoninåterupptagshämmare (SSRI)
🇸🇪 Sertraline

…sätter först vid både depression och ångestsyndrom, och det bäst dokumenterade vid samtidig hjärt- och kärlsjukdom — svag CYP-hämning, ingen kliniskt relevant QT-förlängning i…

DrugIcke-selektiv COX-hämmare, propionsyraderivat med lång halveringstid
🇸🇪 Naproxen

…fyra doser. Naproxen har den mest gynnsamma kardiovaskulära profilen bland NSAID och är därför förstahandsval när ett NSAID måste ges till patient med hjärt-kärlsjukdom.