Antiarrhythmics: Difference between revisions

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*[[Lidocaine]]
*[[Lidocaine|<sup><sub>Lidocaine</sub></sup>]]
*[[Procainamide]]
*[[Procainamide|<sup><sub>Procainamide</sub></sup>]]
*[[Esmolol]]
*[[Esmolol|<sup><sub>Esmolol</sub></sup>]]
*[[Labetalol]]
*[[Labetalol|<sup><sub>Labetalol</sub></sup>]]
*[[Sotalol]]
*[[Sotalol|<sup><sub>Sotalol</sub></sup>]]
*[[Amiodarone]]
*[[Amiodarone|<sup><sub>Amiodarone</sub></sup>]]
*[[Ibutilide]]
*[[Ibutilide|<sup><sub>Ibutilide</sub></sup>]]
*[[Diltiazem]]
*[[Diltiazem|<sup><sub>Diltiazem</sub></sup>]]
*[[Atropine]]
*[[Atropine|<sup><sub>Atropine</sub></sup>]]
*[[Adenosine]]
*[[Adenosine|<sup><sub>Adenosine</sub></sup>]]
*[[Digoxin]]
*[[Digoxin|<sup><sub>Digoxin</sub></sup>]]
*[[Isoproterenol]]
*[[Isoproterenol|<sup><sub>Isoproterenol</sub></sup>]]
*[[Magnesium]]
*[[Magnesium|<sup><sub>Magnesium</sub></sup>]]


<br>


=== Overview table  ===
=== Overview table  ===
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|  
|  
*Quinidine  
*Quinidine  
*[[Procainamide]]
*[[Procainamide]]  
*Disopyramide
*Disopyramide


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|  
|  
|  
|  
*[[Lidocaine]]
*[[Lidocaine]]  
*Phenytoin  
*Phenytoin  
*Mexiletine  
*Mexiletine  
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*treatment and prevention during and immediately after Myocardial infarction, though this practice is now discouraged given the increased risk of Asystole  
*treatment and prevention during and immediately after Myocardial infarction, though this practice is now discouraged given the increased risk of Asystole  
*Ventricular tachycardia  
*Ventricular tachycardia  
*[[Atrial_Fibrillation_(Main)|Atrial fibrillation]]
*[[Atrial Fibrillation (Main)|Atrial fibrillation]]


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|-
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|  
|  
*Propranolol  
*Propranolol  
*[[Esmolol]]
*[[Esmolol]]  
*Timolol  
*Timolol  
*Metoprolol  
*Metoprolol  
*Atenolol  
*Atenolol  
*Bisoprolol
*Bisoprolol  
*[[Labetalol]]
*[[Labetalol]]


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|  
|  
|  
|  
*[[Amiodarone]]
*[[Amiodarone]]  
*[[Sotalol]]
*[[Sotalol]]  
*[[Ibutilide]]
*[[Ibutilide]]  
*Dofetilide  
*Dofetilide  
*Dronedarone  
*Dronedarone  
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*In [[Wolf Parkinson White (WPW)]]  
*In [[Wolf Parkinson White (WPW)]]  
*(sotalol:) Ventricular tachycardias and Atrial fibrillation  
*(sotalol:) Ventricular tachycardias and Atrial fibrillation  
*(Ibutilide:) Atrial flutter and [[Atrial_Fibrillation_(Main)|Atrial fibrillation]]
*(Ibutilide:) Atrial flutter and [[Atrial Fibrillation (Main)|Atrial fibrillation]]


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|-
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|  
|  
*prevent recurrence of Paroxysmal supraventricular tachycardia  
*prevent recurrence of Paroxysmal supraventricular tachycardia  
*reduce Ventricular rate in patients with [[Atrial_Fibrillation_(Main)|Atrial fibrillation]]
*reduce Ventricular rate in patients with [[Atrial Fibrillation (Main)|Atrial fibrillation]]


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|  
|  
|  
|  
*[[Adenosine]]
*[[Adenosine]]  
*[[Digoxin]]
*[[Digoxin]]  
*[[Magnesium]] Sulfate
*[[Magnesium]] Sulfate


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Used in supraventricular arrhythmias,  
Used in supraventricular arrhythmias,  


Or in the case of Magnesium Sulfate, used in Torsade de Pointe.
Or in the case of Magnesium Sulfate, used in Torsade de Pointe.  


|}
|}


<br>


== For Bradyarrythmias: ==
== For Bradyarrythmias: ==


*[[Atropine]]
*[[Atropine]]  
*[[Isoproterenol]]
*[[Isoproterenol]]


=== Source  ===
=== Source  ===


*Tintinalli  
*Tintinalli


*Katzung &amp; Trevor's Pharmacology  
*Katzung &amp; Trevor's Pharmacology


[[Category:Drugs]] [[Category:Cards]]
[[Category:Drugs]] [[Category:Cards]]

Revision as of 02:12, 10 January 2012


Overview table

Class Known as Examples Mechanism Clinical uses
Ia fast-channel blockers-Affect QRS complex (Na+) channel block (intermediate association/dissociation)
  • Ventricular arrhythmias
  • prevention of paroxysmal Recurrent atrial fibrillation (triggered by Vagus nerve overactivity)
  • procainamide in Wolf Parkinson White (WPW)
Ib- Do not affect QRS complex (Na+) channel block (fast association/dissociation)
  • treatment and prevention during and immediately after Myocardial infarction, though this practice is now discouraged given the increased risk of Asystole
  • Ventricular tachycardia
  • Atrial fibrillation
Ic
  • Flecainide
  • Propafenone
  • Moricizine
(Na+) channel block (slow association/dissociation)
  • prevents Paroxysmal atrial fibrillation
  • treats Recurrent tachyarrhythmias of abnormal conduction system.
  • contraindicated immediately post-myocardial infarction.
II Beta-blockers beta blocking
Propranolol also shows some class I action
  • decrease Myocardial infarction mortality
  • prevent recurrence of Tachyarrhythmias
III

K+ channel blocker

Sotalol is also a beta blocker

Amiodarone has Class I, II, and III activity

IV slow-channel blockers Ca2+ channel blocker
  • prevent recurrence of Paroxysmal supraventricular tachycardia
  • reduce Ventricular rate in patients with Atrial fibrillation
V Work by other or unknown mechanisms (Direct nodal inhibition).

Used in supraventricular arrhythmias,

Or in the case of Magnesium Sulfate, used in Torsade de Pointe.


For Bradyarrythmias:

Source

  • Tintinalli
  • Katzung & Trevor's Pharmacology