Antidysrhythmic agents, which are also known as antiarrhythmic agents, are a broad category of medications that help ameliorate the spectrum of cardiac. The ultimate goal of antiarrhythmic drug therapy is to restore normal rhythm and conduction. When it is not possible to revert to normal sinus rhythm, drugs may. Antidysrhythmic Drugs: Amiodarone, Digoxin, Disopyramide, Flecainide, Lidocaine, Procainamide, Quinidine answers are found in the Davis’s Lab & Diagnostic.

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View All Subscription Options. When it is not possible to revert to normal sinus rhythm, drugs may be used to prevent more serious and possibly lethal arrhythmias from occurring.

Vaughan Williams Classification of Antidysrhythmic Drugs |

Decreasing conduction velocity can help to abolish tachyarrhythmias caused by reentry circuits. British Journal of Pharmacology. In the case of AV block, drugs that block vagal influences e.

The subgrouping of Class I agents allows for differentiating their electrophysiologic effects. Sign in via Shibboleth.

Antidysrhythmic Drugs | Student of Nursing Blog

You can also find results for a single author or contributor. Class I drugs work on sodium drkgs, and are subdivided in a, b, and c classes. Include known drug allergies, as well as second or third-degree AV block, a bundle branch block, cardiogenic shock, sick sinus syndrome, and other major ECG changes.

In Symposium on Cardiac Arrhythmias Eds.

Some antidysrhythmics are able to cause to dysrhythmias. Other types of antiarrhythmic drugs affect the duration of action potentials, and especially the effective refractory period. The ‘stabilizing’ word is used to describe the decrease of excitogenicity of the plasma membrane which is brought about by these agents. These agents are particularly useful in the treatment of supraventricular tachycardias. In other projects Wikimedia Commons.


Interactions Are unique to each individual drug but can include the potentiation of anticoagulent activity with warfarin coumadin. AV block can occur during beta-blocker treatment and therefore simply removing a beta-blocker in patients being treated with such drugs may normalize AV conduction. There are four classes of antidysrhytmics which each have a different mechanism of action. Are unique to each individual drug but can include the potentiation of anticoagulent activity with warfarin coumadin.

Those proposed in were: Because sympathetic activity can precipitate arrhythmias, drugs that block beta 1 -adrenoceptors are used to inhibit sympathetic effects on the heart.

With either form, it requires a preceding triggering beat to create the abnormal depolarization. Because it is very important to reverse ventricular tachycardia, drugs are often used to slow AV nodal conduction.

The initial classification system had 4 classes, although their definitions different from the modern classification.

Please note that many of the drugs comprising the first five listed classes have considerable overlap in their pharmacologic properties. The problem arises from the fact that many of the antiarrhythmic agents have multiple modes of action, making any classification imprecise.

They decrease conduction through the AV nodeand shorten phase two the plateau of the cardiac action potential. Wikipedia articles needing page number citations from January All articles with dead external links Articles with dead external links from November Wikipedia articles with NDL identifiers. All antiarrhythmic drugs directly or indirectly alter membrane ion conductances, which in turn alters the physical characteristics of cardiac action potentials.


A recent publication has now emerged with a fully modernised drug classification. Prevents paroxysmal atrial fibrillation Treats recurrent tachyarrhythmias of abnormal conduction system Contraindicated immediately after myocardial infarction.

Class IB drugs lidocaine, tocainide, and mexiletine produce only modest inhibition of the rapid inward sodium current and so shorten the refractory period, and reduce the action potential duration.

Triggered activity, or after-depolarization, occurs during the early stages after depolarization, such antidysrhthmic in phase 2 and 3, or in the later stage during antidysrhythmjc 4. Quinidine Ajmaline Procainamide Disopyramide.

Abnormal conduction is usually due to conduction block or a reentry phenomenon, with the latter being the most common cause of dysrhythmias. Cardiovascular Pharmacology Concepts Richard E. Class I agents block the rapid inward sodium channel, slow the rate of rise of phase 0, and so decrease the rate of depolarization.

Antiarrhythmic Drugs

Accessed December 31, Abnormal impulse generation falls into one of two categories: Class II agents include atenololesmololpropranololand metoprolol. Toxicity Another adverse effect is drug toxicity. By prolonging the effective refractory period, reentry tachycardias can often be abolished. Another approach, known as the “Sicilian gambit”, placed a greater approach on the underlying mechanism.

Classes of drugs used in the treatment of arrhythmias are given below. Please enter User Name Password Error: