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1. Antiarrhythmic drugs…an overview Peter Light
Assistant Professor
Dept of Pharmacology
2. Arrhythmias Disturbances in ionic homeostasis
can trigger arrhythmias
May be caused by genetic defects,
ischemia, drugs and hormones
Ion channels control ionic balance and are
therefore good targets for antiarrhythmic drugs
3. What is an arrhythmia?
4. Arrhythmias
5. Treating arrhythmias…. Surgical intervention
Implantable pacemakers and defibrillators
Drugs
6. Ion Flow and the Action Potential
10. Vaughan-Williams Classification Of Anti-arrhythmic Drugs
11. Class 1 Anti-arrhythmics
12. Class 1A Typical example: - Quinidine
13. Class 1B Typical example: Lidocaine
14. Use dependence
15. Class 1B Typical example: Lidocaine
16. CLASS IC Anti-arrhythmics
17. CLASS II Anti-arrhythmics
18. CLASS III Anti-arrhythmics
19. CLASS III Anti-arrhythmics
21. Drugs: Long QT and TdP
22. Drugs: LQT and TdP
23. Drugs that prolong QT..
24. Drugs that prolong QT..cont
25. Seldane Seldane (terfenadine), an anti-histamine
OTC hay fever drug was withdrawn from market in 1997.
26. CLASS 4 Anti-arrhythmicsEg.Verapamil and Diltiazem
27. Other clinically important anti-arrhythmics.
29. Cardiac Glycosides (digitalis glycosides eg.. Digoxin)
30. Toxicity of glycosides
31. Glycosides and afterdepolarizations