Emerging Therapies for Arrhythmias

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Questions and Answers

What is the primary focus of most new drugs in development, according to the text?

  • Aiming to replace all existing drugs
  • Targeting specific ion channels or cellular components (correct)
  • Aiming to treat all cardiovascular diseases simultaneously
  • Focusing on broad-spectrum effects like class I-IV Vaughan Williams drugs

How do emerging therapies aim to make rhythm control a realistic option for a broad range of arrhythmias?

  • By increasing non-specific effects
  • By replicating the actions of class I-IV Vaughan Williams drugs
  • By targeting multiple ion channels simultaneously
  • By being more selective and less proarrhythmic (correct)

What revolutionary approach to specific arrhythmia types has been made possible by understanding the molecular basis of arrhythmias?

  • Targeting nonspecific cellular components
  • Gene therapy for modulating ion channel function (correct)
  • Surgery as the primary treatment option
  • Increased use of class I-IV Vaughan Williams drugs

Which emerging therapy shows potential in treating arrhythmia pathologies, especially in tachycardia syndromes?

<p>Cell-based therapy with stem cell transplantation (B)</p> Signup and view all the answers

What has made it challenging to develop and market new antiarrhythmic drugs, as mentioned in the text?

<p>The Cardiac Arrhythmia Suppression Trial (CAST) and drug proarrhythmic effects (D)</p> Signup and view all the answers

What has raised hopes for treating cardiac ion channelopathies through gene therapy, as per the text?

<p>The development of an ion channel gene transfer therapy for cystic fibrosis (B)</p> Signup and view all the answers

What is the main goal of pharmacogenomics in the context of drug therapy?

<p>To individualize drug therapy based on genetic determinants (A)</p> Signup and view all the answers

How does gene therapy differ from cell-based therapy in treating arrhythmias?

<p>Gene therapy corrects abnormalities by inserting genes, while cell-based therapy involves transplanting normal cells. (D)</p> Signup and view all the answers

Which enzyme is highlighted as being responsible for the phase I metabolism of most drugs?

<p>CYP2D6 (B)</p> Signup and view all the answers

Why do poor metabolizers of CYP2D6 require only half the standard dose of flecainide?

<p>They have a slower clearance rate of the drug. (C)</p> Signup and view all the answers

What is a potential application of genotype information in relation to antiarrhythmic drug therapy?

<p>Guiding dosing requirements based on genetic factors (C)</p> Signup and view all the answers

How does cell-based therapy aim to cure arrhythmias?

<p>By targeting underlying molecular and cellular mechanisms (C)</p> Signup and view all the answers

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