Anti-arrhythmic Flashcards
2nd line tx ATRIAL and VENTRICULAR
Class IA
Lupus-like Syndrome
Procainamide
SE tremor
Class IB
IV only IB
Lidocaine
Rapid recovery
Class IB
Slow recovery
Class IC
2nd line VENTRICULAR
Class IB
SE nystagmus, confusion, seizures
Lidocaine
Lidocaine analog
Mexiletine
2nd line ATRIAL (if LV is good)
Class IC
POST-MI
Class II
rate control: A-fib, A-flutter
Class II
Atrial and Ventricular
Class III
rate control: atrial arrhythmias
Class IV
rate control: atrial arrhythmias, inotropic
Digoxin
ACUTE Atrial
Adenosine
Route of Adenosine
IV
SE: corneal deposits, photosensitivity, liver toxicity, pulmonary fibrosis SE
Amiodarone
SE: Cinchonism (headache, tinnitus)
Quinidine
depressed LV function
Class IC
Hypotension and Fluid retention on outset
Carvedilol
B-blocker, drug induced lupus
acebutolol
Torsades
Class IA and Class III
B-blocker less CNS effects
Atenolol
Hypotension w/ reflex tachycardia
Class IV
SE: A-fib
Adenosine
SE: Heart block
Digoxin and Class IV