Antiarrhythmic agents
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Questions and Answers

Which phase of the Cardiac Action Potential is characterized by slow calcium influx through L-type Ca++ channels?

  • Phase 1: Partial repolarisation
  • Phase 0: Depolarisation phase
  • Phase 3: Repolarisation phase
  • Phase 2: Plateau phase (correct)
  • What causes the partial repolarization during Phase 1 of the Cardiac Action Potential?

  • Efflux of potassium
  • Inactivation of sodium channels (correct)
  • Fast sodium entry
  • Slow calcium influx
  • Which phase of the Cardiac Action Potential is characterized by the resting state for non-nodal cells?

  • Phase 0: Depolarisation phase
  • Phase 2: Plateau phase
  • Phase 1: Partial repolarisation
  • Phase 4: Resting state (correct)
  • What is the main cause of repolarization during Phase 3 of the Cardiac Action Potential?

    <p>Efflux of K+</p> Signup and view all the answers

    Which cells experience repolarization during Phase 3 of the Cardiac Action Potential?

    <p>Both nodal and non-nodal cells</p> Signup and view all the answers

    What is the main cause of depolarization during Phase 0 of the Cardiac Action Potential for nodal cells?

    <p>Slow calcium entry</p> Signup and view all the answers

    Which phase of the Cardiac Action Potential is characterized by spontaneous diastolic drift due to Na+ and Ca++ entry in nodal cells?

    <p>Phase 4</p> Signup and view all the answers

    Which medication enhances vagal tone and reduces sinoatrial rate and conduction velocity through AV nodes?

    <p>Digoxin</p> Signup and view all the answers

    Which medication is an agonist at cardiac A1 receptors and activates K+ channels, resulting in negative dromotropic and chronotropic effects?

    <p>Adenosine</p> Signup and view all the answers

    Which medication is nature's physiologic calcium blocker and can inhibit or enhance intracellular calcium by regulating Mg2+ levels?

    <p>Magnesium sulfate</p> Signup and view all the answers

    Which medication is commonly used for the control of ventricular rate in atrial fibrillation and the treatment of supraventricular arrhythmias?

    <p>Digoxin</p> Signup and view all the answers

    Which medication is used for the diagnosis and termination of supraventricular arrhythmias, replacing Verapamil?

    <p>Adenosine</p> Signup and view all the answers

    Which medication is commonly used for the treatment of cardiac arrhythmias caused by hypomagnesemia, such as VT/VF?

    <p>Magnesium sulfate</p> Signup and view all the answers

    Which medication is associated with adverse effects such as GI discomfort and diarrhea?

    <p>Magnesium sulfate</p> Signup and view all the answers

    Which medication is associated with adverse effects such as dyspnea, facial flushing, and chest pain?

    <p>Adenosine</p> Signup and view all the answers

    Which medication is associated with adverse effects such as nausea, vomiting, diarrhea, visual disturbances, gynecomastia, and CNS effects?

    <p>Digoxin</p> Signup and view all the answers

    Which antiarrhythmic agent is the first-line treatment for symptomatic sinus bradycardia or AV block?

    <p>Atropine</p> Signup and view all the answers

    Which antiarrhythmic agent is a beta-1/2 adrenoceptor agonist and is used to treat AV block and bradycardia?

    <p>Isoproterenol</p> Signup and view all the answers

    Which class of antiarrhythmic drugs blocks fast sodium channels in non-nodal cells, inhibiting or slowing Phase 0 depolarization and Phase 4 Na+ currents?

    <p>Class I</p> Signup and view all the answers

    Which of the following is NOT a class III antiarrhythmic drug is associated with adverse effects such as thyroid disturbances, pulmonary fibrosis, and peripheral neuropathy?

    <p>Procainamide</p> Signup and view all the answers

    Which class IV antiarrhythmic drug blocks calcium influx via L-type Ca channels and is used to control ventricular rate in atrial fibrillation?

    <p>Verapamil</p> Signup and view all the answers

    Which calcium channel blocker is associated with adverse effects such as headache, fatigue, and heart block?

    <p>Diltiazem</p> Signup and view all the answers

    Which class of antiarrhythmic agent is the first-line drug for ventricular fibrillation and recurrent ventricular tachycardia?

    <p>Class III</p> Signup and view all the answers

    Which class II antiarrhythmic drug reduces heart rate and contractility, prolongs AV refractory period, and decreases phase 4 automaticity?

    <p>Beta blockers</p> Signup and view all the answers

    Which class III antiarrhythmic drug blocks K+ channels, prolongs APD and ERP, and is effective for ventricular and supraventricular arrhythmias?

    <p>Amiodarone</p> Signup and view all the answers

    Which class I antiarrhythmic drug is associated with adverse effects such as diarrhea, rashes, and fever?

    <p>Quinidine</p> Signup and view all the answers

    Which ion channels are the target sites for anti-arrhythmic drugs?

    <p>Na, K, &amp; Ca</p> Signup and view all the answers

    Which of the following drugs slows conduction through the AV node and has its primary action directly on L-type calcium channels?

    <p>Diltiazem</p> Signup and view all the answers

    Which of the following drugs would improve symptoms of a patient with sinus bradycardia?

    <p>Atropine</p> Signup and view all the answers

    What is the main method of emergency treatment for serious dysrhythmias?

    <p>Physical means such as pacing or electrical cardioversion</p> Signup and view all the answers

    What are the classification categories of drugs for tachyarrhythmias according to Vaughan Williams?

    <p>Class I - Na channel blockers, Class II - Beta blockers, Class III - K channel blockers, Class IV - Ca channel blockers, Class V - unclassified</p> Signup and view all the answers

    How are bradyarrhythmias usually treated?

    <p>Antimuscarinic agents, beta 1 agonists, and pacemaker</p> Signup and view all the answers

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