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73 Cards in this Set

  • Front
  • Back
antiarrythmic acts same mechanism as ?
local anestethics
Class 1 drugs slows phase
rising of phase 0
Class 1 causes
decreased excitability and contraction
Class 1 drugs are
use -dependance
Class 1a
prolongs the ap and slows phase 0
Class 1b
shortens the refractory period
Class 1c
slows rise phase 0
slowing of conductance
three class 1a drugs
Quinidine Procainamide Disopyramide
procainamide is adjusten in wich patients
renal failure patients
Quinidine can induce
polymorphic ventricular tachycardia
toxic levels of quinidine ?
Nausea Vomiting Diarrhea
Quinidine treats
atrial , AV-junction and ventricular tachycardia
Procainamide actions
are similar to quinidine
Procainamide adverse
CNS depression hallucinatory
induces hypotension
Disppyramide causes
peripheral vasocontriction
Disopyramide used in
ventricular arrythmias
also has class 3 activity
quinidine also has class what activity
class 3
Quinidine stops
Na channels and also K during refractory
Class 2 drugs ?
Lidocaine
Mexiletine
Lidocaine shortens
phase 3 of the AP
Lidocaine decreases
duration of the AP
Emergency antiarrythmic agent
Lidocaine
Lidocaine rapidly
associates and dissociates from Na+ channels
Lidocaine useful in treating
ventricular arrhythmia during myocardial ischemia
Lidocaine has little effect on
atrial and AV-junction arrythmias
Tocainide is a class ?
class 1c antiarrythmic
what to use in chronic ventricular arrhythmia
Mexiletine
Tocainide to treat
Ventricular tachyarrhythmia
Class 1c drugs
Flecainide
Propafenone
Flecainide approved for ?
refractory ventricular arrhytmia
also premature contraction
paroxysmal supraventricular tachycardia
action of flecainide
suppreses phase 0 upstroke in purkinje and myocardial fibers
how is flecainide decreasing automacity
by rising the threshold
Wich drug has a negative inotropic effect
Flecainide
Whats slows conduction in all cardiac tissues
Propafenone
its a broad spectrum
Flecainide atrial or ventricular
mostly ventricular
which class is b-adrenergic blockers
Class 2 antiarrythmics
Class 2 drugs diminishes
phase 4 depolarisation
Class 2 effect is
slows heart rate and decreases contractility
what is useful in sympathetic induced tachyarrhythmia
class 2 anti A
most widely used B-blocker in cardiac arrythmias
metoprolol
Metoprolol reduces risk of
bronchospasm
Propranolol reduces
arrhythmic death after MYI
Propranolol prevents
ventricular arrhythmia
Esmolol is a
short acting B-blocker
Esmolol used in
acute arrhythmias
Class 3 drugs acts by
blocking potassium channels
prolongs AP, not Phase0
Mention four class3 drugs
Amiodarone Dronedarone Sotalol
Dofetilide
Amiodarone contains
iodine
Amiodarone dominant effect is
prolonged AP
Amiodarone also has
antianginal effect swell aniarrhthymic
Amiodarone to treat
severe refractory supraventri
ventricular tachyarrhythmia
atrial fibrillation
Most commonly employed antiarrhythmic
Amiodarone
Amiodarone side effects
pulmonary fibrosis
Gi tract and liver toxicity
blueskin due to iodine
Dronedarone has less what?
tissue accumulation
do not have the iodine
Dronedarone side effects
Gastrointestinal nausea vomiting
diarrhea
Which is most effective and most safest Amiodarone Dronedarone
Amiodarone more effectine Dronedarone is more safe
Sotalol has a
non selective B-blocker activity
I-sotalol use in
B-blocker use
d-sotalol use in
anti arrhythmic use
Sotalol blocks
rapid K+ outward current
what can be used in patient with persistent atrial fibrillation
Dofetilide
Dofetilide is for ?
atrial fibrillation
is recommended by experts
Class 4 anti arrhythmic are
calcium channel blockers
Class 4 decreases
phase 4 spontaneous depol
Class 4 slows
AV node
Class 4 major action on
vascular smooth muscle and heart
which class 4 is more on the heart
Verapamil
which class 4 drug acts more on vascular smooth muscle
nifepidine
Class 4 drugs are
Verapamil Nifedipine Diltiazem
which class 4 are use dependent
Verapamil Diltiazem
Verapamil and Diltiazem only responds to
open depolarized channels
Class 4 more on
atrial arrhythmias
are associated with Torsades ?
Quinidine, disopyramide, and procainamide