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Los anticolin rgicos impiden el aumento de la concentraci n intracelular de Ca provocado por la interacci n de la acetilcolina con el hadj muscar nico del m sculo liso bronquial. La liberaci n de Ca se grand mediante el sistema transmisor secundario formado por IP3 inositol trifostato y DAG diacilglicerol La broncodilataci n subsiguiente a la inhalaci n de Atrovent es principalmente un efecto localizado en los pulmones, no atrovent hfa aerosol mico.

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