Anti-Arrythmics

Question 1

Which 3 drug classes should be used in AF?

Answer 1

Rate Control - bisoprolol, verapimil, diltiazem
Rhythm Control - sotalol, flecainide with bisoprolol
Anticoagulation - Warfarin, NOAC

Question 2

Which IV drugs should be used in ventricular tachycardia?

Answer 2

Metoprolol, Lignocaine, Amiodarone (depends on what the patient is already on)

Question 3

Should Flecainide be used alone in atrial flutter?

Answer 3

No

Also, need to give AVN blocking drugs to reduce vent rates

Question 4

Name 2 drugs that are the best for WPW?

Answer 4

Flecainide
Amiodarone
IV acute or oral for long term

Question 5

List drugs that can be used in re-entrant SVT

Answer 5

Acute (IV) - Adenosine, Verapimil, Flecainide

Chronic (oral) - Bisoprolol, Flecainide, Amiodarone, Procainamide, Verapimil

Question 6

Which drugs do you use for ectopic beats?

Answer 6

Bisoprolol

Flecainide, Sotalol, Amiodarone - only if bisoprolol doesn’t work

Question 7

Which drugs would you use to treat sinus tachycardia?

Answer 7

Ivabradine

Bisoprolol/Verapimil (as ivabradine is teratogenic)