Cardiac arrhythmias treatment Flashcards

1
Q

MOA of class one antiarrythemia drugs

A

Na+ channel blocker. works on phase 0 depression

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2
Q

what type of arrythmias do class 1 antiarrythemias treat

A

ventricular arrythmias

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3
Q

what does 1A antiarrhythmic drugs cause

A

moderate phase 0 depression, prolonged repolarization, increased duration of AP, increase in refactory period

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4
Q

class 1A antiarrhythmic drugs

A

1) quinidine
2) procainamide
3) disopyramide

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5
Q

what does class 1B antiarrhythmics drugs do

A

weak phase 0 depression, shortened repolarization, decreased AP

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6
Q

class 1B antiarrhythmic drugs

A

1) lidocaine
2) mexiletine

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7
Q

Class 1C antiarrhythmic drugs do

A

strong phase 0 depression, little effect on repolarization, slows conduction in the heart

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8
Q

Class 1C antiarrhythmic drugs

A

1) flecainide
2) propafenone

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9
Q

Class 2 antiarrhythmic drugs

A

work on phase 4 of the cardiac action potential
beta blockers - blunt HR and force of contraction

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10
Q

MOA of class 2 antiarrhythmic drugs -beta blockers

A

1) block B1 receptors in the heart
2) direct membrane stabilizing effects related to Na + channel blockade

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11
Q

what arrhythmias do class 2 anti arrhythmic drugs treat

A

atrial tachycardia and ventricular arrhythmias

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12
Q

class 3 antiarrhythmic drug MOA

A

k+ channel blockers- works at phase 3

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13
Q

class 3 antiarrhythmic drugs

A

(-rone and -lide)
- amidoarone
-dronedarone
-ibtilide
- dofetilide

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14
Q

class 4 antiarhrythmic drugs MOA

A

ca2+ channel blockers works at phase 2

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15
Q

what arrythmias are class 4 drugs used to treat

A

atrial fibrillation by slowing the rate of the AV node

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16
Q

class 4 antiarrthymia drugs

A
  • verapamil
  • diltiazem
17
Q

Adenosine

A

inhibits AV conduction

18
Q

Digoxin

A

reduces the conduction of the AV node - Aflutter Afib

19
Q

Atropine

A

blocks the vagal effects on the SA node - used to treat bradycardia

20
Q

Side effects of class 1A

A

can lead to torsades de pointes

21
Q

side effect of class 1B

A

drowsiness and seizures

22
Q

side effects of class 1C

A

visual disturbances and dizziness

23
Q

side effects of class 2 drugs

A

fatigue, bradycardia, and hypotension

24
Q

side effects of class 3 drugs

A

pulmonary toxicity, thyroid dysfunction, hepatotoxicity, corneal deposists

25
Q

side effects of class 4 drugs

A

constipation, hypotension, bradycardia