Daawada Durida Tartrate Metoprolol

Durida Tartrate Metoprolol

Magaca Alaabta : Cirbadda Metoprolol Tartrate
Tilmaamaha daaweynta

Tachyarrhythmias

l Atrial fibrillation / atrial flutter oo leh heerka hawo-mareenka degdega ah

l Tachycardia Supraventricular (SVT)

l Tachycardia Ventricular (VT)

l Duufaanta VT/Fibrillation Ventricular (VF).

Hemodynamically deggan wadnaha oo hawlgab

l Wadnaha oo aad u ba'an oo ka dambeeya fibrillada atrial oo leh xawli degdeg ah

l Decompensation ba'an ee wadnaha ischaemic dabadheeraad ah

l Wadne-gabka degdega ah ee ba'an oo ay ku adkaato xaalad degdeg ah oo hypertensive

l Wadnaha oo istaaga oo ay ugu wacan tahay walaaca uu keeno wadnaha wadnaha (Takotsubo syndrome)

Cudurka wadnaha oo ba'an (ACS)

l Wadnaha wadnaha oo kor u kaca (STEMI) ee qaybta ST

l Kor-u-qaadka aan-ST-da ahayn ee xanuunka wadnaha ee degdega ah (NSTE-ACS)

Xaaladaha degdega ah ee hypertensive

l Kala-baxa xididada

Isticmaalka dhamaystiran ee Perioperative

l Qalliinka wadnaha ka dib? Perioperative atrial fibrillation oo leh heerka hawo-mareenka degdega ah ee qaliinka aan wadnaha ahayn

Guryaha dawooyinka

l Xididdada β-blockers: Dhaqso u samee si aad u gaarto yoolalka daaweynta, sida yareynta ischemia myocardial, hoos u dhigista cadaadiska dhiigga, yareynta garaaca wadnaha, xakameynta tachyarrhythmias daran, iyo ka hortagga dhimashada degdega ah ee wadnaha.

l Marka la barbar dhigo wakiilada sida caadiga ah loo isticmaalo antiarrhythmic sida cedilanid xididka (deslanoside) iyo digoxin, xididada metoprolol waxay ku guulaysataa xakamaynta degdega ah ee heerka ventricular, iyada oo celcelis ahaan bilawga ficilka 5 daqiiqo gudahood ka dib maamulka.

l Wakiilka safka koowaad ee xakamaynta heerka degdega ah ee ventricular ee fibrillada atrial; Maamulka hore wuxuu si wax ku ool ah u yareeyaa dhacdooyinka fibrillation ventricular.

l Waxay si weyn u yaraynaysaa halista dhimashada degdega ah ee wadnaha, iyadoo hoos u dhac ku yimi khatarta 30-40%.

l β-blockers ma laha saamaynta proarrhythmic waxayna hoos u dhigtaa khatarta guud ee dhimashada.

Ka soo horjeeda firfircoonida xad dhaafka ah ee naxariista leh waxayna ka hortagtaa soo noqoshada fibrillada atrial ka dib wadnaha koronto ee soo noqnoqda.

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