Anti-arrhythmic Drugs Flashcards
Examples of Class I anti-arrhythmic Drugs
Lidocaine, Flecainide
Mechanism of action of Class I anti-arrhythmic Drugs
Block Na channels, Slow conductance in phase 0 of cardiac action potential
ADRs of Class I anti-arrhythmic Drugs
Hypotension, Long QT, Dizziness, Confusion, Insomnia, Seizures, GI upset
Indications for Class I anti-arrhythmic Drug use
Rhythm control -AF
Examples of Class II anti-arrhythmic Drugs
Atenolol, Bisoprolol
Mechanism of action of Class II anti-arrhythmic Drugs
Beta blockers, Reduce SNS input slowing conduction through the AV node
ADRs of Class II anti-arrhythmic Drugs
Bronchospasm, Hypotension, Reduced contractility
Indication for Class II anti-arrhythmic Drug use
Rate control -SVT, Sinus tachycardia
Examples of Class III anti-arrhythmic Drugs
Amiodarone, Sotalol
Mechanism of action of Class III anti-arrhythmic Drugs
Block K channels preventing repolarisation increasing the refractory period
ADRs of Amiodarone
Arrhythmia, Pulmonary fibrosis, Photosensitivity, Thyroid disease, Liver damage
ADRs of Sotalol
Arrhythmia, Fatigue, Insomnia
Indications for Class III anti-arrhythmic Drug use
Rhythm control - most arrhythmias
Example of Class IV anti-arrhythmic Drugs
Verapamil
Mechanism of action of Class IV anti-arrhythmic Drugs
Block Ca channels, reducing influx of Ca in the cardiac and pacemaker potentials, slowing conductance through the AV node