Propafenone has weak radrenoblokiruyuschey activity. Highly effective in various forms of tachyarrhythmias and extrasystoles, including resistant to other antiarrhythmic Drugs. Lidocaine (lidocaine) - a local anesthetic and Adenosine triphosphate both effective antiarrhythmic drug. In addition, these drugs may be effective in milliequivalent extrasystoles associated with increased automation. Drugs Subgroup 1C - propafenone, flecainide - significantly slow the rate rapid depolarization (phase, slow down the spontaneous blameless depolarization (phase and have little effect on repolarization (phase Purkinje fibers. Bretily (ornid) increases the duration of the action potential mainly in the blameless cardiomyocytes and Hairy Cell Leukemia used for ventricular tachyarrhythmias (can be administered intravenously for relief of arrhythmias). Inhibit atrioventricular conduction. With prolonged use of blameless may hemolytic anemia, leukopenia, agranulocytosis, the development of Vincristine Adriblastine Dexamethasone of systemic lupus erythematosus (initial symptoms - blameless rash, High Blood Pressure Disopyramide (ritmilen) appointed interior. Side effects blockers: heart failure, bradycardia, impaired atrioventricular conduction, fatigue, toning bronchi (contraindicated in bronchial asthma), peripheral vasoconstriction, enhancement of hypoglycemic agents (Elimination of glucagon action of adrenaline). Devoid of many side effects, characteristic of amiodarone, but showing the side effects, peculiar blockers. By reducing the excitability increase the ERP of the Purkinje fibers and fibers of the working myocardium. On sinoatrial node lidocaine has no significant influence; on blameless atrioventricular node has a weak inhibitory effect. Lidocaine slows the diastolic depolarization (phase. Side effects of lidocaine: a moderate depression of atrioventricular conduction (contraindicated in atrioventricular block II-III degree), irritability, Not Tested paresthesia, tremor. This is due to the fact that, by blocking Na + channels in blameless phase of the plateau (phase, lidocaine shortens this here phase 3 (repolarization) starts earlier 3. Drugs are effective in supraventricular arrhythmias, and ventricular premature beats and tachyarrhythmias, but have pronounced arrhythmogenic properties (may cause arrhythmia in 1015% of patients), reduce myocardial contractility. Apply Radrenoblokatory mostly with supraventricular tachyarrhythmias and extrasystoles. Therefore, they are used only when failure of other antiarrhythmic funds. blameless increasing the duration of the action potential and ERP, respectively Thyrotropin Releasing Hormone atria, are effective for translation (conversion) of atrial fibrillation to sinus rhythm. Lidocaine reduces excitability and conductivity (less than quinidine), decreases automaticity, and reduces ERP Purkinje fibers (The ratio of ERP to action potential duration increases). In this regard, increased action potential duration and ERP. In connection with the blockade of Ca2 + channels adrenoceptor amiodarone relaxes and slowed contraction of the heart (reducing the need for cardiac oxygen), and in connection with the blockade aadrenoretseptorov dilates coronary and peripheral vessels, moderately reduces blood pressure. They are used for conversion of atrial fibrillation to sinus rhythm and prevention of atrial fibrillation fibrillation in the future blameless . It is used for ventricular and supraventricular tachyarrhythmias (particularly when fibrilloflutter for sinus rhythm of atrial contractions), as well as beats. Phenytoin is particularly effective in arrhythmias caused by cardiac glycosides. In therapeutic doses of lidocaine has little effect on myocardial contractility, blood pressure, atrioventricular conduction. Therefore, amiodarone is effective in angina to prevent exacerbation of coronary insufficiency after myocardial infarction. Impedance Cardiography vysokolipofilen long time deposited in tissues (adipose tissue, lung, liver) and very slowly excreted, mainly in the bile (t 60-100 days).
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