Antiarrhytmic Drugs Flashcards
Class 1
Sodium Channel Blockers
Local anesthetic activity
Act on Phase 0
Class 2
Beta Adrenergic Blockers
Class 3
Potassium Channel Blockers
Class 4
Calcium Channel Blockers
Class 1a
Prolongs AP
Class 1b
Shortens AP
Significant effects on ischemic tissues
Class 1c
No effect on AP
Class 1A Antiarrhythmics
I Am the Queen that Proclaimed the Diss on the Pyramid
Procainamide
Disopyramide
Quinidine
Atrial and Ventricular Antiarrhythmics
Class 1A
Class 1A drug with antimalarial effect
Quinidine
Class 1A, Antiarrhythmics , Lupus like syndrome
Procainamide
Class 1A, Marked antimuscarinic effects
Disopyramide
Class 1A, Torsades, Cinchonism (Headache, Vertigo Tinnitus)
Quinidine
Treatment for Class 1A overdose
Sodium Lactate
DOC Ventricular Arrhythmias
Digoxin induced arrhythmias
Best for Post MI
Class 1B Antiarrhytmics
Class 1B Antiarrhythmics, Agranulocytosis
Tocamide
Least cardiotoxic among conventional Antiarrhythmics
Lidocaine
Class 1B Antiarrhythmics Teratogenic
Phenytoin
1B Drugs
I Buy Mexican Tacos with Lids
Mexiletine
Tocainide
Lidocaine
1C Antiarrhythmics
Selective
For refractory arrhythmias
Contraindicated in POST MI
1C Antiarrhythmics
Antiarrhythmics
I C MORe FLECked ENCAsed PROPs
Reduction of cAMP
Act on Phase 4
Prolonged PR
Post MI Prophylaxis
Class 2 Antiarrhythmics
Non Selective B Blockers
Propanolol
Selective B1 Blocker
Esmolol
Hallmark of Prolonged AP Duration
Increase QT Interval
Class 3 Antiarrhythmics
Treatment and prophylaxis for atrial fibrilation
Dofetilide
SE of Dofetilide
Torsades de Pointes
Most efficacious of all Antiarrhythmics drugs
Amiodarone
SE of Amiodarone
Microcrystalline deposits of cornea and skin
Pulmonary Fibrosis
PR interval consistently increased
Class 4
Prolongs PR Interval
Prolongs QRS
Prolongs QT
Prolongs AP
Class 1 A - Procainamide
Shortens AP Duration
No effect in normal Cells
Class 1B - Lidocaine
Prolongs QRS interval
No effect in AP Duration
Class 1C - Flecainide
Prolongs PR
No effect on AP
Class 2 - Propanolol
Class 4 - Verapamil
Prolongs QT
Prolongs AP
Class 3 - Dofetilide
DOC for paroxysmal supraventricular tachycardia
Adenosine