Antiarrythmic Flashcards
Lidocaine
Mexilentine
Phenytoin
Class 1b
Na channel blockers that slightly decrease APD
Procainamide
Quinidine
Disopyramide
Class1a
Na channel blockers increase action potential duration
Propafenone
Flecainide
Class 1c Na channel blockers
That don’t change APD
Propranolol
Atenolol
Esmolol
Metoprolol
Class 2 Beta blockers Diminish phase 4 depola- prolong AV conduction^pr interval Used-post MI*** Patients with paraxysmal supra ventricular tachycardia
Amoiodarone Dronedarone Sotalol Ibutilide Bretylium
Class III
-k channel blockers - prolonged APD -
Increases QT interval
Verapamil
Diltiazem
Class Iv
L type channel calcium channel blockers
Adenosine
Class micellaneous Adenosine receptor agonist Drug of choose for SVT**** Activatea K channeling the AV node -hyper polarization ,reduce the calcium channels Short half life -10s **
Digoxin
Class miscellaneous
Increase Vagal tone
Digoxin induced arrhythmia treat with mangnesium
Quinidine
Class 1A
Block Na and k channel
Anti muscarine
Alpha blocker
A.e.- cinchonism-tinnitus
Precipitates to radars de pointed, prolong qt
Procainamide
Class 1a
-anti muscarine
A.e. SLE
Disopyramide
class1a
Anticholinergic
Avoided in heart failure ***
Amidarone
Class 3 k blocker***
Iodine containing highly lipophilic
-blocks inactivated Na channel, Ca channels
Use: post MI, ventricular arrythmias,
A.e. Pulmonary fibrosis -mcc,skin pigmentation, corneal deposits, thyroid alter
Lidocaine
Class 1b less cardio toxic
Blocks Na.slight decrease ASD, dec ERP
Not by mouth
Toxicity- neurological drowsiness,nystagmus,seizures *
Use after lodacaine 1b has failed
Bretylium-class III