anti arrhythmic facts Flashcards
Pace maker AP working
1.spontaneous depolarization from funny Na+ channels
2.Last push to threshold from T-type Ca+ channels
3.Rapid depol, from L-type Ca+ channels
4.K+ channels rapid repolarization
Contractile cell AP
Phase 0:Na+ channels with rapid depol.
1:Na+ channel inactivate and small repol
2.K+ small movement out, L-type Ca+ channels open
3.delayed K+ rectifier channels open for rapid repol. L-type close
4.K+ channels are open and Na/Ca channels are closed. resting
ERP
effective refractory period
Time between depol and earliest time a early stim could trigger new AP
Torsades de pointes
Twisting of points when a early stim depolarizes a cell leading to a fib
Class 1 anti-arrhythmics
Na+ channel blockers
slow conduction velocity
bind readily to open or inactivated state
Class 2 anti-arrhythmics
Control rate
beta blockers
decrease CO and HR
Class 3 anti-arrhythmics
K+ channel blockers
lengthen repolariztion
Class 4
Ca+ channel blockers