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Pharmacology Cardiovascular system fbe48794

The positive inotropic effect of digitalis due to inhibition of the Na+/K+ ATPase pump in cardiac muscle cell membrane leads to:

A
Decreased activity of Na+/Ca++ exchanger causing decreased influx of sodium and decreased efflux of Ca++ in the sarcolemma
B
Decreased efflux of Na+ leading to less negative resting membrane potential and opening of voltage gated Ca++ channels on the T tubules
C
Increased intracellular Na+ causing increased efflux of Na+ and increased influx of Ca++ through Na+/ Ca++ exchanger in the sarcolemma
D
Increased intracellular Na+ decreasing the activity of Ca++ pump in the sarcoplasmic reticulum
High-Yield Explanation
Digitalis selectively binds to the extracellular face of membrane- Na-k ATPase is inhibited. Inhibition of this cation pump results in progressive accumulation of Na intracellularly. Indirectly result in intracellular Calcium accumulation. REF.Essentials of medical pharmacology K D TRIPATHI 6 Edition)

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