Open main menu
Home
Random
Recent changes
Special pages
Community portal
Preferences
About Wikipedia
Disclaimers
Incubator escapee wiki
Search
User menu
Talk
Dark mode
Contributions
Create account
Log in
Editing
Antiarrhythmic agent
(section)
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
===Class III agents=== [[Image:Action potential Class III.svg|thumb|class=skin-invert-image|Effect of class III drugs on length of action potential]] Class III agents predominantly [[Potassium channel blocker|block the potassium channels]], thereby prolonging repolarization.<ref>{{cite journal | last1 = Lenz | first1 = TL | last2 = Hilleman | first2 = DE | year = 2000 | title = Dofetilide, a New Class III Antiarrhythmic Agent | pmid = 10907968 | journal = Pharmacotherapy | volume = 20 | issue = 7| pages = 776β786 | doi=10.1592/phco.20.9.776.35208| s2cid = 19897963 }}</ref> Since these agents do not affect the sodium channel, conduction velocity is not decreased. The prolongation of the action potential duration and refractory period, combined with the maintenance of normal conduction velocity, prevent re-entrant arrhythmias. (The re-entrant rhythm is less likely to interact with tissue that has become refractory). The class III agents exhibit reverse-use dependence (their potency increases with slower heart rates, and therefore improves maintenance of sinus rhythm). Inhibiting potassium channels results in slowed atrial-ventricular myocyte repolarization. Class III agents have the potential to prolong the QT interval of the EKG, and may be proarrhythmic (more associated with development of polymorphic VT). Class III agents include: [[bretylium]], [[amiodarone]], [[ibutilide]], [[sotalol]], [[dofetilide]], [[vernakalant]], and [[dronedarone]].
Edit summary
(Briefly describe your changes)
By publishing changes, you agree to the
Terms of Use
, and you irrevocably agree to release your contribution under the
CC BY-SA 4.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)