Pharmacological Agents for Arrhythmias

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Questions and Answers

Which class of antiarrhythmic drugs is known for having alpha adrenergic blockade and vagolytic actions?

  • Class IC
  • Class IA (correct)
  • Class IB
  • Class II

Why is disopyramide not recommended for use?

  • High cost and limited availability
  • Lack of efficacy and toxicity (correct)
  • Potential for drug interactions
  • Low bioavailability and rapid metabolism

Which Class IC drug is highly effective at converting atrial fibrillation (AF) to sinus rhythm?

  • Flecainide (correct)
  • Propafenone
  • Mexiletine
  • Lidocaine

Why are beta-blockers (Class II) used in antiarrhythmic therapy?

<p>To decrease automaticity of the SA node (A)</p> Signup and view all the answers

What is a significant limitation of using procainamide for atrial fibrillation (AF) treatment?

<p>Potential for severe gastrointestinal side effects (C)</p> Signup and view all the answers

Why is the use of encapsulated oral mexiletine for recurrent ventricular tachycardia (VT) prevention not recommended?

<p>Lack of improved outcomes (B)</p> Signup and view all the answers

Which class of antiarrhythmic drugs works by blocking the effects of catecholamines at beta-adrenergic receptors in the heart?

<p>Class II (C)</p> Signup and view all the answers

Which class of antiarrhythmic drugs has a low ability to block sodium channels and is used to treat acute ventricular arrhythmias?

<p>Class IB (C)</p> Signup and view all the answers

What is the main adverse effect associated with class IA antiarrhythmics?

<p>Torsades de pointes (D)</p> Signup and view all the answers

Which type of blockade is state dependent for lidocaine-like agents in class IB antiarrhythmics?

<p>Open state blockade (C)</p> Signup and view all the answers

What is the mechanism of action of class II antiarrhythmics in treating arrhythmias?

<p>Mimicking sympathetic stimulation by inhibiting beta-1 and beta-2 receptors (A)</p> Signup and view all the answers

Which effect do beta blockers cause in the heart, leading to a reduction in the heart's oxygen demand?

<p>Lower heart rate and force of contraction (D)</p> Signup and view all the answers

What is the main limitation of Vaughan Williams' classification system for antiarrhythmic drugs?

<p>Variations in effect between patients (A)</p> Signup and view all the answers

What is the primary use of Class IB antiarrhythmics like Lidocaine?

<p>Treating acute ventricular arrhythmias (B)</p> Signup and view all the answers

Why are beta blockers used under careful observation for changes in rhythm?

<p>To increase the incidence of triggered activity in the ventricles. (C)</p> Signup and view all the answers

Which class of antiarrhythmic drugs is contraindicated following myocardial infarction (MI)?

<p>Class IA (C)</p> Signup and view all the answers

What is the primary concern with class II antiarrhythmic agents?

<p>Excessive depression of cardiac function (D)</p> Signup and view all the answers

Which class of antiarrhythmic drugs is known to delay repolarization?

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

Which antiarrhythmic drug is considered most effective for atrial fibrillation?

<p>Amiodarone (D)</p> Signup and view all the answers

What is the primary mechanism of action of Class IV antiarrhythmics?

<p>Inhibiting the flow of calcium ions through calcium channels (C)</p> Signup and view all the answers

Why are beta blockers considered a first-line treatment for myocardial infarction patients?

<p>To prevent ventricular arrhythmias (B)</p> Signup and view all the answers

Which action characterizes the effect of Class III antiarrhythmics on myocytes?

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

Why are Class IV antiarrhythmics generally contraindicated in patients with left ventricular dysfunction?

<p>To prevent side effects like heart failure (B)</p> Signup and view all the answers

What is the primary concern with using Amiodarone for atrial fibrillation?

<p>Potential for toxicity (D)</p> Signup and view all the answers

Which drug has a decreased usage due to proarrhythmic effects and perception changes about risks and benefits?

<p>Sotalol (A)</p> Signup and view all the answers

Why are Class III antiarrhythmics considered less susceptible to proarrhythmia compared to Class I agents?

<p>They prolong repolarization (C)</p> Signup and view all the answers

What is the mechanism of action of Beta-blockers in arrhythmias?

<p>Suppressing triggered activity and stabilizing membranes (B)</p> Signup and view all the answers

How do Calcium Channel Blockers affect the AV node in arrhythmias?

<p>Suppress automaticity (D)</p> Signup and view all the answers

What is the primary mechanism of action of Digoxin in supraventricular arrhythmias?

<p>Inhibiting sodium/potassium ATPase (D)</p> Signup and view all the answers

Why are Potassium Channel Blockers classified as Class III antiarrhythmic drugs?

<p>They accelerate repolarization (D)</p> Signup and view all the answers

What is a common limitation of Beta-blockers in acute arrhythmias?

<p>Slow onset of action (D)</p> Signup and view all the answers

How do Calcium Channel Blockers affect myocardial contractility?

<p>Decrease it by inhibiting calcium movement (C)</p> Signup and view all the answers

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