Class 1c Antiarrhythmic
Flecanide
Propafenone
Class 1c Mechanism
Slows conduction Blocks open Na channels Dissociate slowly during diastole Effective at high heart rates “Use dependence”
Class 1a antiarrhythmics
Quinidine
Procainamide
Class 1b antiarrhythmics
Mexilitine
Class III antiarrhythmics
Sotalol
Class III mechanism of action
Blocks potassium channels
Prolonged depolarization
Prolonged action potential
Prolonged refractory period
“Reverse use dependence”
More effective at slower heart rates
Daily medication for maintenance of sinus rhythm
Class 1b Mechanism if Action
Increase rate of depolarization
Increase delayed afterdepolarization
Shorten refractory period