antiarrhythmic drugs Flashcards

1
Q

what do class Ia do to action potential

A

lengthen action potential

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2
Q

example class Ia

A

disopyramide

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3
Q

what do class Ib do to action potential

A

shorten action potential

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4
Q

example of class Ib

A

lidocaine

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5
Q

what does class Ic do to action potential

A

no effect on action potential

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6
Q

example of Ic

A

flecainide

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7
Q

what does class II do

A

block beta-adrenoreceptors

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8
Q

example of class II

A
  • atenolol

- bisoprolol

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9
Q

what does class III do to action potential

A

lengthen action potential

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10
Q

example of class III drug

A

amiodarone

sotalol

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11
Q

what does class IV do to action potential

A

reduce plateau phase of action potential

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12
Q

example of class IV

A

verapamil

diltiazem

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13
Q

how do class I drugs work

A

they reduce the rate of entry of sodium into the cell

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14
Q

what autonomic innervation do class II drugs affect

A

antisympathetic

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15
Q

what are most class II drugs

A

beta-adrenoreceptor antagonists

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16
Q

examples of selective beta blockers

A
  • metoprolol
  • bisoprolol
  • atetnolol
17
Q

what do beta blockers do to AV node conduction

A

suppress it

18
Q

when are class II agents used

A

forms of SVT e.g. AF

19
Q

how do class III agents work

A

delay potassium current

20
Q

what can sotalol cause

A
  • long QT syndrome

- torsades de pointes

21
Q

what is vernakalant

A

multichannel blocker

22
Q

what drugs are used for patients with structurally normal hearts

23
Q

what drugs are used for patients with structural heart disease

24
Q

what is employed in the treatment of symptomatic tachyarrhythmias

A

catheter ablation

25
how are ablations performed
percutaneously by placing electrode catheters into the heart chambers usually via femoral vessels
26
what does successful ablation need
identification of site of origin
27
in what arrhythmias are catheter ablations used
- AV node re-entrant tachycardia - AV re-entrant tachycardia with accessory pathway - ventricular tachycardia - atrial flutter - atrial tachycardia - paroxysmal atrial fibrillation
28
symptomatic patients with wolf parkinson white syndrome treatment
catheter ablation - 1st line
29
what is main risk associated with accessory pathway ablation
thromboembolism
30
what is recommended in patients with atrial flutter
catheter ablation
31
how does implantable cardioverter-defibrillation recognise
ventricular tachycardia or fibrillation and automatically delivers pacing or a shock to the heart
32
how many shocks does their battery last
100
33
are the ICD discharges painful
only if patient is awake
34
what is first line treatment for prevention of sudden death
ICD