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In heart failure, cardiac output rises again because ventricular afterload diminishes due to a fall in peripheral resistance. Venous congestion abates as a result of (1) increased cardiac output and (2) reduction in venous return (decreased aldosterone secretion, decreased tonus of venous capacitance vessels).
In assessing the risks attending drug use during pregnancy, the following points have to be considered: a) Time of drug use. The possible sequelae of exposure to a drug depend on the stage of fetal development, as shown in A.

 

Infertility is caused by suppression of spermatogenesis or follicle maturation. Most cytostatics disrupt DNA metabolism. This entails the risk of a potential genomic alteration in healthy cells (mutagenic effect). Conceivably, the latter accounts for the occurrence of leukemias several years after cytostatic therapy (carcinogenic effect).
As yet, no drugs are available for blocking aggregation induced by serotonin or PAF. ADP-induced aggregation can be prevented by ticlopidine and clopidogrel; these agents are not classic receptor antagonists. ADP-induced aggregation is inhibited only in vivo but not in vitro in stored blood; moreover, once induced, inhibition is irreversible.

 

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