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Chapter 7 Selected Diseases and Disorders of the Cardiovascular System

7p17 Cardiovascular Disease Medications (Anticoagulants and Antilipidemics)

Zoë Soon

Anticoagulants (Blood Thinners)

  • Reduce platelet adhesion and clot formation.
  • Commonly used in preventing thrombosis:
    • Aspirin (ASA): For daily prevention in at-risk patients.
    • Heparin: Used acutely, especially during hospital stays.
    • Warfarin: Oral anticoagulant; requires monitoring and an antidote—Vitamin K.
  • Risk: Excessive anticoagulation can cause bleeding or internal hemorrhages.

Lipid-Lowering Drugs

  • Purpose: Reduce serum cholesterol and triglycerides.
  • Examples: Statins and other classes (not named specifically here).
  • Benefit: Lower the risk of atherosclerosis and coronary artery disease.

Statins (e.g., Lipitor):

  • Mode of action: Block the enzyme involved in synthesis of LDL cholesterol in the liver.
  • Purpose:
    • Reduce LDL (“bad”) lipoproteins in the blood.
    • Decrease the formation of atheromatous plaques (atherosclerosis).
  • Benefit: Lowering LDL levels helps prevent atherosclerotic buildup in coronary arteries, reducing the risk of heart attacks and other cardiovascular events.

Summary

  • Anticoagulants to prevent clots, and lipid-lowering medications to prevent arterial blockages
  • Medications like statins, vasodilators, anticoagulants, and blood pressure drugs play critical roles in managing cardiovascular disease.

 

  • Recognizing risk factors for CAD and understanding the effects of atherosclerosis help guide preventive strategies and treatments to reduce mortality and improve quality of life.

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