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.