Antiarrhythmics Flashcards
quinidine ADR
cinchonism (headache, tinnitus)
thrombocytopenia
TdP
procainamide ADR
reversible SLE-like syndrome (in slow acetylators)
thrombocytopenia
TdP
disopyramide ADR
heart failure
thrombocytopenia
TdP
lidocaine ADR
CNS stimulation/depression
cardiovascular depression
mexiletine ADR
DNS stimulation/depression
cardiovascular depression
flecainide ADR
proarrhythmic, especially post MI (CI)
CI in structural and ischemic heart disease
propafenone ADR
proarrythmic,e specially post MI (CI)
CI in structural and ischemic heart disease
beta blocker ADR
impotence
exacerbate COPD and asthma
heart: bradycardia, AV block, CHF
CNS: sedation, sleep alterations
may mask signs of hypoglycemia
metoprolol specific ADR
dyslipidemia
propranolol specific ADR
exacerbate vasospasm in Prinzmetal angina
sotalol ADR
TdP
excessive beta blockade
ibutilide ADR
TdP
amiodarone ADR
pulmonary fibrosis
hepatotoxicity
hypothyroidism/hyperthyroidism (amiodarone is 40% iodine by weight)
corneal deposits
skin deposits (blue/gray) resulting in photo dermatitis
neurologic effects
constipation
heart: bradycardia, heart block, CHF, low risk of TdP
verapamil ADR
constipation
flushing
edema
heart: CHF, AV block, sinus node depression
diltiazem ADR
constipation
flushing
edema
heart: CHF, AV block, sinus node depression