Wednesday, August 27, 2014

CALCIUM CHANNEL BLOCKERS AND AEC INHIBIORS ANAESTHETIC IMPLICATIONS




CALCIUM CHANNEL BLOCKERS
Are a diverse group of structurally unrelated compounds that selectively interferes with the inward calcium movement across the myocardial and vascular smooth muscles.
Calcium plays a key role in the electrical excitation of the cardiac cell and vascular smooth muscle cells.

Introduction

Role of Ca++ in Cardiac and Smooth Muscle

  • Changes in intracellular Ca++ regulate contraction through different mechanisms in cardiac and smooth muscle:
    • In cardiac muscle, Ca++ binding to troponin C relieves troponin inhibition of actin-myosin interactions