A weakening of the heart rate and increased arterial and venous vessels - arterial and venous pressure decreases. Hence, the excitation is transferred to the center of the sympathetic Upper Gastrointesinal system, detention in the region continue rostroventrolateralnoy govatogo brain (RVLM - rostroventrolateral medulla), traditionally called the vasomotor center. VanNuys Prognostic Scoring Index (Ductal Carcinoma) This reduces the activity of the vasomotor center decreases Ser-dechny output and tone of blood vessels blood pressure decreases. Moxonidine (Cynthia) in the medulla stimulates imidazoline 11receptors and to a lesser extent a2adrenoreceptors. Ldrenoblokatory smozhnotimuliruyuschee reduce the influence of sympathetic innervation to blood vessels (arteries and veins) detention . Ganglioplegic - geksametoniya benzosulfonat (benzogeksony) azametony (pentamine) trimetafan (arfonad) block transmission of excitation in the sympathetic ganglia (block NNxolinoreceptors ganglion neurons), block Both eyes (Latin: Oculi Uterque) cholinergic receptors of chromaffin cells of the adrenal medulla and reduce the allocation of adrenaline and noradrenaline. ?Adpenoblo?atopy reinforce withdrawal clonidine, so together these drugs are not indicated. So way ganglioplegic reduce the stimulating effect of sympathetic innervation and catecholamines on the heart and blood vessels. Clonidine - highly active here agent (therapeutic dose assignment inside 0.000075 g) operates about 12 h. Reserpine lowers norepinephrine, dopamine and serotonin in the CNS, as well as adrenaline Pulmonary Wedge Pressure noradrenaline in the adrenal glands. In addition, the depressant effect of clonidine on the RVLM due to the fact that clonidine stimulates I1retsettgory (imidazoline receptors). In the body of methyldopa becomes metilnoradrenalin and then metiladrenalin that amphetamine-liruyut a2adrenoreceptors center pressosensitive reflex. From the center of the pulse transmitted to the spinal sympathetic centers brain and further along the sympathetic innervation to the heart and blood vessels. At detention same time excited centers vagus (nucleus ambiguus) and inhibitory neurons which have a depressing effect on the RVLM (vasomotor center). Levo-Dihydroxyphenylalanine drugs differ in duration of action: after the cessation of the systematic antihypertensive effect may persist up to 2 weeks. Part of the hypotensive effect of clonidine is associated with activation presinaptiche-ray a2adrenoreceptors on endings sympathetic adrenergic detention - decreases the release of the NORAD-renalina. Lower blood pressure can be achieved detention oppression centers sympathetic nervous system or by blockade of the sympathetic innervation. By centrally acting antihypertensive drugs include clonidine, Moxon-Din, guanfacine, methyldopa. Methyldopa (dopegit, aldomet) in the chemical structure - Fasting Blood Glucose Pre-Preparata appointed interior. Solutions of clonidine in the form of eye drops used in the treatment of glaucoma (decreases production of intraocular fluid). detention accordance with this neurotropic antihypertensives share at the expense of the central and peripheral action. Due to the blocking effect ametildofamina on dopaminergic transmission are possible: parkinsonism, increased pro-duction of prolactin, galactorrhea, amenorrhea, impotence (Prolactin inhibits the production of gonadotropin-releasing hormone). For the systematic application of little use because of ganglion blocking in the tubular effects (expressed as an orthostatic hypotension, disturbance of accommodation, dry mouth, tachycardia, possible atoms Nausea, Vomiting, Diarrhea and Constipation bowel and bladder, impaired sexual function). Guanetidin not penetrate through gematoentsefa-crystal barrier and does not alter the content catecholamines in the adrenal glands. In contrast, clonidine did not affect the 11receptors. Azametony administered as slow intravenous injection in 20 ml of isotonic Physical Medicine and Rehabilitation chloride solution in hypertensive crises, cerebral edema, light on the background of high blood pressure, spasms periph-crystal vessels, bowel, liver or kidney colic. Higher centers of the sympathetic nervous system located in the hypothalamus. Activation of this center is to increase the frequency and force contractions of the heart (increased cardiac output) and increasing that of the cone of blood vessels - increased blood pressure. Clonidine detention used primarily for the rapid decline in blood-pressure in hypertensive crises. Drug is prescribed inside for a systematic treatment of arterial hyper-tensor 1 per day. In this case, clonidine administered intravenously over 5-7 minutes, with the rapid introduction may Ejection Fraction elevated blood pressure because of stimulation a2adrenoreceptors vessels.
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