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Clinical pharmacy 2024/2025                            Level 3 Pharm D                             Pharmacology 1 (PO 502)

                     Types of arrhythmias according to origin and rhythm:

            •  Atrial flutter

            •  Sinus tachycardia
            •  Sinus bradycardia

                                                           supraventricular
            •  Atrial fibrillation                          tachycardia (STV)
            •  Ventricular tachycardia

            •  Ventricular fibrillation



































                                        Antiarrhythmic drug classes:





           Class                    Mechanism                                      Example

                                                                                IA: Quinidine

                                 +
              I               Na  channel blockers.                            IB: Lignocaine
                                                                                IC: flecainide

             II                    Beta Blockers                     Propranolol, Metoprolol, sotalol


                                 +
             III               K  channel blockers                      Amiodarone, Dronedarone

                                 2+
             IV               Ca  channel blockers                          Verapamil, diltiazem

           Other              Miscellaneous drugs;                          Digoxin - Adenosine
                          decrease conduction velocity.                      MgSO4 - Atropine



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