antifastHR Flashcards
Which phase does I(kr), I(ks) correspond to?
Phase 3
Which phase does I(to) correspond to?
Phase 1
Which phase does I(Na) correspond to?
Phase 0
Which phase does I(Ca) correspond to?
Phase 2
Why does the action potential fall from phase 2 > 3
Influx of Ca2+ is less than efflux of K+
Which channel do class 1 anti-arrhythmic drugs target?
Sodium channels
What class of anti-arrhythmic is procainamide?
Class 1A
What is the effect of procainamide?
- Reduces rate of Phase 0 rise* Reduces conductivity & automaticity* Increases ERP & APD
What is the effect of lidocaine?
- Reduces rate of Phase 0 rise* Shortens phase 3 repolarisation* Reduces automaticity* Shortens APD## FootnoteNo change to ERP
What class of anti-arrhythmic is lidocaine?
Class 1B
What class of anti-arrhythmic is Flecainide?
Class 1C
What is the effect of flecainide?
- Reduces rate of Phase 0 rise* Shortens Phase 3 repolatisation* Reduces conductivity & automaticity
What is the clinical indication for flecainide?
Refractory ventricular tachycardias
What are class 2 anti-arrhythmic drugs?
Beta-blockers
What are the effects of class 2 anti-arrhythmics?
- Reduces Phase 4 depolarisation* Reduces HR & contractility