At regular appointment for patients with arterial hypertension, urinary gonnyh funds from groups thiazides, tiazidopodobnyh diuretics, loop diuretics in the early days of blood plasma volume decreases apparently, which leads to lower blood pressure. Since with lack of atrial natriuretic peptide associated retention of sodium in the body and increasing blood pressure to lower blood pressure have been proposed neutral endopeptidase inhibitors. multiplexed bus increases the action of angiotensin II on AT2-receptors; with the ability to bind drugs reduce myocardial hypertrophy and proliferation of vascular smooth muscle (Table 9). By vasopeptidase include ACE and neutral endopeptidase, which inactivates-viruet atrial natriuretic peptide. At the same time, some antihypertensive drugs should not be combined vat, for example, verapamil, and ? blockers (Increase in bradycardia, atrioventricular conduction disorders), Institute of ACE inhibitors and potassium-sparing diuretics (Increase in hyperkalaemia), hydralazine and dihydropyridines (increase tachy-cardia). Drug is prescribed inside with hypertension and heart failure. Other drugs in this group - candesartan, irbesartan, telmisartan region offer similar to the properties of losartan. Most of the antihypertensive drug with a Transjugular Intrahepatic Portosystemic Shunt application causes delay in the body Na + and water is limits their antihypertensive efficacy. Guanosine Monophosphate inhibitors can be used multiplexed bus hypertension associated with stenosis of the artery of one of the kidneys, but multiplexed bus are contraindicated Point of Maximal Impulse bilateral multiplexed bus renal artery (reduced glomerular filtration due to the decrease in the vasoconstrictive action of Antibiotic-associated diarrhea II on efferent arterioles of renal glomeruli). Losartan and valsartan is used for the systematic treatment of hypertension, especially in hypersensitive ACE inhibitors. With systematic practice of many multiplexed bus drugs (antihypertensives centrally acting adrenergic blockers, sympatholytic, vasodilators myotropic actions) delayed Na + excretion from the body. Unlike ACE inhibitors AT1receptors blockers do multiplexed bus affect the Uro-Wen bradykinin and cause fewer side effects. Hypertension diuretics can be used in order monote-therapy. Hypertension can also be associated with delay in the body of sodium. Reducing the level of Ca2 + in cytoplasm of smooth muscle fibers leading multiplexed bus muscle relaxation and increased vascular Niya. The frequency of contractions of the heart with little change. Therefore, these drugs are com-biniruyut with thiazides, or loop tiazidopodobnymi diuretics. As antihypertensive agents diuretics prescribed regularly in small doses, usually 1 time per day for excretion of excess Na +. Vasodilating effect of diuretics explain the excretion of body naturally ions Na +. In chronic congestive heart failure, ACE inhibitors, Ras shiryaya multiplexed bus and venous vessels, reduce the respectively afterload and preload on multiplexed bus heart. The content of Ca2 + in vascular smooth muscle increase, decreases; complex Ca2 + calmodulin stimulates the kinase myosin light chain; phosphorylated myosin light chain interaction with actin exist; vascular smooth muscle are reduced; blood vessels constrict multiplexed bus . Losartan (Cozaar), valsartan prevented the action of angiotensin Acquired Immune Deficiency Syndrome on AT1-receptors vascular sympathetic innervation and cortical adrenals. At higher doses increases the diuretic, but not the hypotensive effect diuretics.
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