To describe: The effect of calcium channels blockers and beta receptor blockers on the heart, and the mechanism by which these drugs reduce the cardiac output.
Introduction: Ca2+ enters the contractile cell through voltage-gated L-type Ca2+ channels present in the cell membrane. When Ca2+ enters into the contractile cell, it opens ryanodine receptors located on the sarcoplasmic reticulum. This leads to the release of Ca2+ into the cytosol. The Ca2+ released during this process is required for heart contraction. Beta receptors can bind to epinephrine and norepinephrine that flow into the blood. These receptors play a role in increasing heart rate and contraction, and therefore, help in the cardiac output.
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