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Author10 Posts
  #1

which antiarrythmic is known to prolong the QT interval but not cause torsades de point?

a. esmolol
b. quinidine
c. lidocaine
d. adenosine
e. digoxin
f. amiodarone





  #2

Guess is Esmolol

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  #3

amiodarone?

  #4

adenosine?

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  #5

definitely Amiodarone

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  #6

adenosine is too short acting to cause this, I remeber reading somewhere that we don't count its effect, because it's too short.
esmolol doesn't prolong QT interval as far as I know.

  #7

It is Amiodarone, I'm sure look up at Kazung's pharmacology review 7th. P.128

BUT Y ?????


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My best friends are these Gentlemen :Why & How.

  #8

drfax wrote:
It is Amiodarone, I'm sure look up at Kazung's pharmacology review 7th. P.128

BUT Y ?????


  • The acquired conditions that predispose one to torsade either decrease the outward potassium current or interfere with the inward sodium and calcium currents, or fluxes.
    • The electrolyte disturbances that have been reported to precipitate torsade include hypokalemia and hypomagnesemia. Close observation is required in predisposed patients, such as those with cirrhosis or hypothyroidism.
    • Hypokalemia and hypomagnesemia, in turn, cause a delay in phase III (ie, reprolongation) and form the substrate for emergence of the dysrhythmia.
    • Antiarrhythmic drugs reported to be etiologic include class IA agents (eg, quinidine, procainamide, disopyramide), class IC agents (eg, encainide, flecainide), and class III agents (eg, sotalol, amiodarone).

http://www.emedicine.com/emerg/topic596.htm

Best of luck


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FA is just a good revision book.It is not a "real" learning tool.

  #9

so its not amiodarone. wats the ans drkaur?

  #10

it's F...GUYS...









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