Cardiovascular Drugs — Flashcards

Flashcard 161: Drug of choice for Digoxin induced Ventricular Tachycardia:-

Answer: Lidocaine

Flashcard 162: Drug of choice for hypertension with hyperlipidemia is

Answer: Amlodipine

Flashcard 163: Drug of choice for HFrEF (Heart Failure with Reduced Ejection Fraction) is

Answer: Sacubitril/Valsartan (ARNI)

Extra: Sacubitril is a neprilysin inhibitor and Valsartan is an ARB. This combination (ARNI) is now a first-line treatment for HFrEF (Heart Failure with Reduced Ejection Fraction), often preferred over ACE inhibitors or ARBs. isolated Right Heart Failure management primarily focuses on treating the underlying cause (e.g., pulmonary hypertension or left-sided failure) and volume management.

Flashcard 164: Drug of choice for acute PSVT

Answer: Adenosine

Flashcard 165: Drug of choice of paroxysmal supraventricular tachycardia is ?

Answer: Adenosine

Flashcard 166: Drug of choice for ventricular arrhythmias due to myocardial infarction (MI) is:

Answer: Lidocaine (Lignocaine)

Extra: Lidocaine (Class IB antiarrhythmic) is the traditional drug of choice for ventricular arrhythmias occurring in the setting of acute myocardial infarction (MI). **Mechanism:** Class IB agents like Lidocaine have a high affinity for sodium channels in the **inactivated state**, which is more prevalent in ischemic/depolarized tissue. **Note:** In modern ACLS guidelines, Amiodarone is the first-line treatment for pulseless VT/VF, but for arrhythmias specifically induced by acute ischemia, Lidocaine remains a classic and effective choice.

Flashcard 167: Drug of choice for ventricular tachycardia in a patient with myocardial ischemia is:

Answer: Lignocaine

Flashcard 168: Drug of choice for torsades de pointes?

Answer: Magnesium sulfate

Flashcard 169: Drug of choice for cardiogenic shock -

Answer: Norepinephrine

Flashcard 170: Drug of choice for classical angina attack -

Answer: Nitroglycerin