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13 Cards in this Set
- Front
- Back
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What is used for rhythm control in patients with severe afib symtoms?
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direct cardioversion
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What is used for rate control in patients with mild afib symptoms?
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Digoxin (slow onset)
Verapamil, diltiazem Beta-blockers Then warfarin for >3 weeks |
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What is used for rhythm control in patients with recurrent paroxysmal or persistent afib and NO HEART DISEASE?
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Felcainide (Ic), Sotolol (III)
Amiodarone (III), Dofetilide (III) Type 1a drugs Non-drug therapies PLUS chronic warfarin (INR 2-3) |
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What is used for rhythm control in patients with recurrent paroxysmal or persistent afib and HTN WITH NO LVH?
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Flecainide, Propafenone (Type Ic)
Type III drugs Type 1a drugs PLUS chronic warfarin (INR 2-3) |
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What is used for rhythm control in patients with recurrent paroxysmal or persistent afib and HTN WITH LVH?
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Amiodarone (III)
PLUS chronic warfarin (INR 2-3) |
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What is used for rhythm control in patients with recurrent paroxysmal or persistent afib and CAD?
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Sotolol (III)
Amiodarone (III), Dofetilide (III) Type 1a drugs PLUS chronic warfarin (INR 2-3) |
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What is used for rhythm control in patients with recurrent paroxysmal or persistent afib and CHF?
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Amiodarone (III), Dofetilide (III)
PLUS chronic warfarin (INR 2-3) |
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What are class Ia antiarrhythmic drugs and what is their MOA?
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Quinide gluconate
Quinidine sulfate Quinidine polygalacturate Procainamide Disopyramide Moricizine Na blockers Decrease conduction and autmaticity Increase refractory period |
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What are class Ib antiarrhythmic drugs and what is their MOA?
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Lidocaine
Tocainide Mexiletine Na blockers Decrease refractory period and automaticity |
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What are class Ic antiarrhythmic drugs and what is their MOA?
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Felcainide
Propafenone Na blockers Major decrease in conduction Increase refractory period Decrease automaticity |
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What are Class II antiarrhythmic drugs and what is their MOA?
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Metoprolol
Propanolol Esmolol Calcium channel blockers Decrease conduction and automaticity Increase refractory period |
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What are Class III antiarrhythmic drugs and what is their MOA?
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Bretylium
Amiodarone Sotalol Ibutilide Dofetilide K channel blockers Major increase in refractory period |
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What are class IV antiarrhythmic drugs and what is their MOA?
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Vetrapamil
Diltiazem (non-DHP CCB) Decrease conduction and automaticity Increase refractory period |
