Which one of the following best represents the mechanism of action and electrocardiographic effect of diltiazem?
Correct Answer: Calcium channel blockade; increased PR interval
Description: Flecainide is a Class Ic antiarrhythmic agent and is a potent sodium channel blocker that slows ventricular conduction and increases QRS duration. Diltiazem is a calcium channel blocker similar to verapamil and acts to slow atrioventricular conduction and increase the PR interval. Esmolol is a sho-acting l3-adrenergic receptor blocker that also slows atrioventricular conduction and increases the PR interval. Sotalol is a Class III antiarrhythmic agent that also has l3-adrenergic receptor blocking activity. It blocks potassium channels and thereby slows repolarization and increases the QT interval. Ref: katzung 12th ed, cardiovascular system
Category:
Pharmacology
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