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Comprehensive Guide to Calcium Channel Blockers by Dr. Fournier

Learn about calcium channel blockers, medications inhibiting slow calcium currents with arteriolar relaxation effects, for coronary insufficiency, hypertension, and more. Includes indications, dosage recommendations, side effects, and contraindications by Dr. Fournier.

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Comprehensive Guide to Calcium Channel Blockers by Dr. Fournier

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  1. Calcium-Bloqueurs • Classe hétérogène • Médicaments inhibant le courant calcique « lent », et ayant action de relaxation du tonus vasoconstricteur artériolaire • Antispasme artériel • Diminution de la post - charge CEI Ca bloqueurs Dr Fournier

  2. Présentation • Plusieurs familles • Pyridines: • Adalate* • Loxen* • Amlor* • Autres • Tildiem* • Isoptine* CEI Ca bloqueurs Dr Fournier

  3. Indications • Insuffisance coronaire • Surtout si spasme coronaire (angor de Prinzmetal) • Si bêta-bloquants contre-indiqués • HTA • Surtout patient âgé • Adalate* sub-lingual en aigu • Tachycardie de Bouveret • Réduction: Tildiem* IV, 0,25 mg/kg en 5 minutes • Entretien ? CEI Ca bloqueurs Dr Fournier

  4. Effets Secondaires • Œdèmes des membres inférieurs • Bradycardie • Insuffisance cardiaque • Macro-glossie • Flush CEI Ca bloqueurs Dr Fournier

  5. Contre-indications • Bradycardie • Surtout sinusale • Bloc auriculo-ventriculaire • Grossesse • Allergie connue • Mauvais état veineux CEI Ca bloqueurs Dr Fournier

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