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In this manner, they maintain the transmembrane gradients for K+ and Na+, the negative resting membrane potential, and the normal electrical excitability of the cell membrane. When part of the enzyme is occupied and inhibited by CG, the unoccupied remainder can increase its level of activity and maintain Na+ and K+ transport.
Therapeutic uses. Because of their narrow therapeutic margin, these antiarrhythmics are only employed when rhythm disturbances are of such severity as to impair the pumping action of the heart, or when there is a threat of other complications. The choice of drug is empirical. If the desired effect is not achieved, another drug is tried. Combinations of antiarrhythmics are not customary.

 

The point of contact (synapse) between the first and second neurons occurs mainly in ganglia; therefore, the first neuron is referred to as preganglionic and efferents of the second as postganglionic. Electrical excitation (action potential) of the first neuron causes the release of acetylcholine (ACh) within the ganglia.
Pharmacological agents that act to dilate arterioles would thus be inappropriate because at rest they may divert blood from underperfused into healthy vascular regions on account of redundant arteriolar dilation. The resulting “steal effect” could provoke an anginal attack. (3)

 

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