CVS

Miscellaneous Antiarrhythmic Agents: Adenosine and others

Adenosine Adenosine is antiarrhythmic agent that is widely used for the investigation and management of both narrow complex and, less often, broad complex tachycardias. It produces...

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CVS

Class 4 Antiarrhythmic Drugs: Verapamil and Diltiazem

Verapamil and diltiazem are non‑dihydropyridine calcium channel blockers classified as Class IV antiarrhythmics, primarily used to slow atrioventricular (AV) nodal conduction and control ventricular rate in...

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CVS

Antiarrhythmic drugs: Class III – Amiodarone and others

Class III antiarrhythmics predominantly prolong cardiac repolarization via potassium channel blockade, with amiodarone as the prototypical agent and additional options including dofetilide, sotalol, ibutilide, and dronedarone chosen...

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CVS

Antiarrhythmic drugs: Beta-adrenoceptor-blocking drugs (Class 2)

Introduction Among the diverse categories of drugs used to manage cardiac arrhythmias, beta-adrenoceptor-blocking drugs (beta blockers)—classified as Class 2 antiarrhythmics under the Vaughan Williams scheme—play a...

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CVS

Antiarrhythmic drugs: Propafenone (Class 1C)

Propafenone is a Class 1C antiarrhythmic that produces potent, use‑dependent blockade of fast cardiac Na+ channels with slow unbinding kinetics, resulting in marked conduction slowing...

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CVS

Antiarrhythmic drugs: Flecainide (Class 1C)

Flecainide is a Class 1C antiarrhythmic agent widely used for rhythm control in atrial and ventricular arrhythmias, particularly in patients without significant structural heart disease. The...

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CVS

Antiarrhythmic drugs: Mexiletine (Class 1B)

Mexiletine is an oral Class IB antiarrhythmic and sodium channel blocker structurally related to lidocaine, used primarily for ventricular arrhythmias and selected channelopathies such as...

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CVS

Antiarrhythmic drugs: Lidocaine (Class 1B)

If you trained in a time when every crash cart seemed to include “lido,” you remember lidocaine as the go-to antidote for ugly ventricular ectopy....

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CVS

Antiarrhythmic drugs: Disopyramide (Class 1A)

Introduction Disopyramide is a Class 1a antiarrhythmic agent, primarily used in the treatment of ventricular tachycardia. It functions as a sodium channel blocker, inhibiting conduction...

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CVS

Antiarrhythmic drugs: Quinidine (Class 1A)

Overview and Learning Objectives By the end of this chapter, you should be able to: Quinidine is a prototypical Class IA antiarrhythmic historically used in...

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