Diferencia entre revisiones de «Antiarrhythmics»

Sin resumen de edición
Sin resumen de edición
Línea 1: Línea 1:
*[[Lidocaine]]
*[[Lidocaine|<sup><sub>Lidocaine</sub></sup>]]
*[[Procainamide]]
*[[Procainamide|<sup><sub>Procainamide</sub></sup>]]
*[[Esmolol]]
*[[Esmolol|<sup><sub>Esmolol</sub></sup>]]
*[[Labetalol]]
*[[Labetalol|<sup><sub>Labetalol</sub></sup>]]
*[[Sotalol]]
*[[Sotalol|<sup><sub>Sotalol</sub></sup>]]
*[[Amiodarone]]
*[[Amiodarone|<sup><sub>Amiodarone</sub></sup>]]
*[[Ibutilide]]
*[[Ibutilide|<sup><sub>Ibutilide</sub></sup>]]
*[[Diltiazem]]
*[[Diltiazem|<sup><sub>Diltiazem</sub></sup>]]
*[[Atropine]]
*[[Atropine|<sup><sub>Atropine</sub></sup>]]
*[[Adenosine]]
*[[Adenosine|<sup><sub>Adenosine</sub></sup>]]
*[[Digoxin]]
*[[Digoxin|<sup><sub>Digoxin</sub></sup>]]
*[[Isoproterenol]]
*[[Isoproterenol|<sup><sub>Isoproterenol</sub></sup>]]
*[[Magnesium]]
*[[Magnesium|<sup><sub>Magnesium</sub></sup>]]


<br>


=== Overview table  ===
=== Overview table  ===
Línea 28: Línea 29:
|  
|  
*Quinidine  
*Quinidine  
*[[Procainamide]]
*[[Procainamide]]  
*Disopyramide
*Disopyramide


Línea 41: Línea 42:
|  
|  
|  
|  
*[[Lidocaine]]
*[[Lidocaine]]  
*Phenytoin  
*Phenytoin  
*Mexiletine  
*Mexiletine  
Línea 50: Línea 51:
*treatment and prevention during and immediately after Myocardial infarction, though this practice is now discouraged given the increased risk of Asystole  
*treatment and prevention during and immediately after Myocardial infarction, though this practice is now discouraged given the increased risk of Asystole  
*Ventricular tachycardia  
*Ventricular tachycardia  
*[[Atrial_Fibrillation_(Main)|Atrial fibrillation]]
*[[Atrial Fibrillation (Main)|Atrial fibrillation]]


|-
|-
Línea 71: Línea 72:
|  
|  
*Propranolol  
*Propranolol  
*[[Esmolol]]
*[[Esmolol]]  
*Timolol  
*Timolol  
*Metoprolol  
*Metoprolol  
*Atenolol  
*Atenolol  
*Bisoprolol
*Bisoprolol  
*[[Labetalol]]
*[[Labetalol]]


Línea 87: Línea 88:
|  
|  
|  
|  
*[[Amiodarone]]
*[[Amiodarone]]  
*[[Sotalol]]
*[[Sotalol]]  
*[[Ibutilide]]
*[[Ibutilide]]  
*Dofetilide  
*Dofetilide  
*Dronedarone  
*Dronedarone  
Línea 104: Línea 105:
*In [[Wolf Parkinson White (WPW)]]  
*In [[Wolf Parkinson White (WPW)]]  
*(sotalol:) Ventricular tachycardias and Atrial fibrillation  
*(sotalol:) Ventricular tachycardias and Atrial fibrillation  
*(Ibutilide:) Atrial flutter and [[Atrial_Fibrillation_(Main)|Atrial fibrillation]]
*(Ibutilide:) Atrial flutter and [[Atrial Fibrillation (Main)|Atrial fibrillation]]


|-
|-
Línea 116: Línea 117:
|  
|  
*prevent recurrence of Paroxysmal supraventricular tachycardia  
*prevent recurrence of Paroxysmal supraventricular tachycardia  
*reduce Ventricular rate in patients with [[Atrial_Fibrillation_(Main)|Atrial fibrillation]]
*reduce Ventricular rate in patients with [[Atrial Fibrillation (Main)|Atrial fibrillation]]


|-
|-
Línea 122: Línea 123:
|  
|  
|  
|  
*[[Adenosine]]
*[[Adenosine]]  
*[[Digoxin]]
*[[Digoxin]]  
*[[Magnesium]] Sulfate
*[[Magnesium]] Sulfate


Línea 130: Línea 131:
Used in supraventricular arrhythmias,  
Used in supraventricular arrhythmias,  


Or in the case of Magnesium Sulfate, used in Torsade de Pointe.
Or in the case of Magnesium Sulfate, used in Torsade de Pointe.  


|}
|}


<br>


== For Bradyarrythmias: ==
== For Bradyarrythmias: ==


*[[Atropine]]
*[[Atropine]]  
*[[Isoproterenol]]
*[[Isoproterenol]]


=== Source  ===
=== Source  ===


*Tintinalli  
*Tintinalli


*Katzung &amp; Trevor's Pharmacology  
*Katzung &amp; Trevor's Pharmacology


[[Category:Drugs]] [[Category:Cards]]
[[Category:Drugs]] [[Category:Cards]]

Revisión del 02:12 10 ene 2012


Overview table

Class Known as Examples Mechanism Clinical uses
Ia fast-channel blockers-Affect QRS complex (Na+) channel block (intermediate association/dissociation)
  • Ventricular arrhythmias
  • prevention of paroxysmal Recurrent atrial fibrillation (triggered by Vagus nerve overactivity)
  • procainamide in Wolf Parkinson White (WPW)
Ib- Do not affect QRS complex (Na+) channel block (fast association/dissociation)
  • treatment and prevention during and immediately after Myocardial infarction, though this practice is now discouraged given the increased risk of Asystole
  • Ventricular tachycardia
  • Atrial fibrillation
Ic
  • Flecainide
  • Propafenone
  • Moricizine
(Na+) channel block (slow association/dissociation)
  • prevents Paroxysmal atrial fibrillation
  • treats Recurrent tachyarrhythmias of abnormal conduction system.
  • contraindicated immediately post-myocardial infarction.
II Beta-blockers beta blocking
Propranolol also shows some class I action
  • decrease Myocardial infarction mortality
  • prevent recurrence of Tachyarrhythmias
III

K+ channel blocker

Sotalol is also a beta blocker

Amiodarone has Class I, II, and III activity

IV slow-channel blockers Ca2+ channel blocker
  • prevent recurrence of Paroxysmal supraventricular tachycardia
  • reduce Ventricular rate in patients with Atrial fibrillation
V Work by other or unknown mechanisms (Direct nodal inhibition).

Used in supraventricular arrhythmias,

Or in the case of Magnesium Sulfate, used in Torsade de Pointe.


For Bradyarrythmias:

Source

  • Tintinalli
  • Katzung & Trevor's Pharmacology