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Antiarrhythmic agent
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===Class I agents=== The class I antiarrhythmic agents [[Sodium channel blocker|interfere with the sodium channel]]. Class I agents are grouped by what effect they have on the Na<sup>+</sup> channel, and what effect they have on cardiac [[action potential]]s. Class I agents are called membrane-stabilizing agents, "stabilizing" referring to the decrease of excitogenicity of the plasma membrane which is brought about by these agents. (Also noteworthy is that a few class II agents like propranolol also have a [[membrane stabilizing effect]].) Class I agents are divided into three groups (Ia, Ib, and Ic) based upon their effect on the length of the action potential.<ref name="pmid6723689">{{cite journal |vauthors=Milne JR, Hellestrand KJ, Bexton RS, Burnett PJ, Debbas NM, Camm AJ |title=Class 1 antiarrhythmic drugs β characteristic electrocardiographic differences when assessed by atrial and ventricular pacing |journal=Eur. Heart J. |volume=5 |issue=2 |pages=99β107 |date=February 1984 |pmid=6723689 |doi= 10.1093/oxfordjournals.eurheartj.a061633}}</ref><ref name="isbn0-07-139930-5">{{cite book |author1=Trevor, Anthony J. |author2=Katzung, Bertram G. |title=Pharmacology |publisher=Lange Medical Books/McGraw-Hill, Medical Publishing Division |location=New York |year=2003 |page=43 |isbn=978-0-07-139930-2 }}</ref> * Class Ia drugs lengthen the action potential (right shift) * Class Ib drugs shorten the action potential (left shift) * Class Ic drugs do not significantly affect the action potential (no shift) <div class="skin-invert-image"> <gallery mode="packed" widths="360px" heights="160"> File:Action potential class Ia.svg|Class Ia File:Action potential Class Ib.svg|Class Ib File:Action potential class Ic.svg|Class Ic </gallery> </div> {{clear}}
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