Zusammenfassung
Kalziumantagonisten sind eine chemisch heterogene Substanzklasse, deren gemeinsames Merkmal es ist, den Einstrom von Kalziumionen durch spezifische membranöse Kanäle (sog. Kalziumkanäle vom L-Typ) erregbarer Zellen zu hemmen. Zur Behandlung der arteriellen Hypertonie wurden bislang nur selektive Kalziumantagonisten mit hoher Affinität zum Kalziumkanal vom L-Typ entwickelt, die sich aufgrund unterschiedlicher chemischer Strukturen, differenter Bindungsstellen am Kalziumkanal und einem — zumindest teilweise — differierenden Wirkungsspektrum in folgende drei Typen unterteilen lassen (Einzelsubstanzen s. Tabelle 26.1):
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Phenylalkylaminderivate (Verapamil-Typ),
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1,4-Dihydropyridinderivate (Nifedipin-Typ) und
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Benzothiazepinderivate (Diltiazem-Typ).
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Stimpel, M. (2001). Kalziumantagonisten. In: Arterielle Hypertonie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57617-1_26
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