Antiarrhythmic Drugs Use in Elderly Patients. Vaughan Williams Class III and IV Drugs

The effectiveness of antiarrhythmic drugs in the elderly is similar to that in younger patients. However data for «the very elderly» are lacking. Elderly patients are more vulnerable to adverse drug reactions (ADRs) because of age-related changes of pharmacokinetics, co-morbidity and drug interactio...

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Main Authors: E. A. Ushkalova, S. K. Zyryanov, K. E. Zatolochina, A. P. Pereverzev, N. A. Chukhareva
Format: Article
Language:English
Published: Столичная издательская компания 2016-11-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/1343
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author E. A. Ushkalova
S. K. Zyryanov
K. E. Zatolochina
A. P. Pereverzev
N. A. Chukhareva
author_facet E. A. Ushkalova
S. K. Zyryanov
K. E. Zatolochina
A. P. Pereverzev
N. A. Chukhareva
author_sort E. A. Ushkalova
collection DOAJ
description The effectiveness of antiarrhythmic drugs in the elderly is similar to that in younger patients. However data for «the very elderly» are lacking. Elderly patients are more vulnerable to adverse drug reactions (ADRs) because of age-related changes of pharmacokinetics, co-morbidity and drug interactions. Аmioadarone is not considered as the drug of choice in elderly patients because of the high risk of serious ADRs. Other class III drugs should be prescribed to the elderly with great caution under close monitoring of the treatment. Diltiazem and verapamil should not be used in elderly patients with NYHA class III-IV heart failure and should not be combined with β-blockers.
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spelling doaj.art-bbc13dc95c22401aa60c2c647433fddd2024-04-01T07:43:34ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-11-0112560360910.20996/1819-6446-2016-12-5-603-6091269Antiarrhythmic Drugs Use in Elderly Patients. Vaughan Williams Class III and IV DrugsE. A. Ushkalova0S. K. Zyryanov1K. E. Zatolochina2A. P. Pereverzev3N. A. Chukhareva4People's Friendship University of Russia. Miklukho-Maklaya ul. 6, Moscow, 117198 RussiaPeople's Friendship University of Russia. Miklukho-Maklaya ul. 6, Moscow, 117198 RussiaPeople's Friendship University of Russia. Miklukho-Maklaya ul. 6, Moscow, 117198 RussiaPeople's Friendship University of Russia. Miklukho-Maklaya ul. 6, Moscow, 117198 RussiaScientific Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov. Academika Oparina ul. 4, Moscow, 117997 RussiaThe effectiveness of antiarrhythmic drugs in the elderly is similar to that in younger patients. However data for «the very elderly» are lacking. Elderly patients are more vulnerable to adverse drug reactions (ADRs) because of age-related changes of pharmacokinetics, co-morbidity and drug interactions. Аmioadarone is not considered as the drug of choice in elderly patients because of the high risk of serious ADRs. Other class III drugs should be prescribed to the elderly with great caution under close monitoring of the treatment. Diltiazem and verapamil should not be used in elderly patients with NYHA class III-IV heart failure and should not be combined with β-blockers.https://www.rpcardio.online/jour/article/view/1343class iii and iv antiarrhythmic drugselderly patients
spellingShingle E. A. Ushkalova
S. K. Zyryanov
K. E. Zatolochina
A. P. Pereverzev
N. A. Chukhareva
Antiarrhythmic Drugs Use in Elderly Patients. Vaughan Williams Class III and IV Drugs
Рациональная фармакотерапия в кардиологии
class iii and iv antiarrhythmic drugs
elderly patients
title Antiarrhythmic Drugs Use in Elderly Patients. Vaughan Williams Class III and IV Drugs
title_full Antiarrhythmic Drugs Use in Elderly Patients. Vaughan Williams Class III and IV Drugs
title_fullStr Antiarrhythmic Drugs Use in Elderly Patients. Vaughan Williams Class III and IV Drugs
title_full_unstemmed Antiarrhythmic Drugs Use in Elderly Patients. Vaughan Williams Class III and IV Drugs
title_short Antiarrhythmic Drugs Use in Elderly Patients. Vaughan Williams Class III and IV Drugs
title_sort antiarrhythmic drugs use in elderly patients vaughan williams class iii and iv drugs
topic class iii and iv antiarrhythmic drugs
elderly patients
url https://www.rpcardio.online/jour/article/view/1343
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AT kezatolochina antiarrhythmicdrugsuseinelderlypatientsvaughanwilliamsclassiiiandivdrugs
AT appereverzev antiarrhythmicdrugsuseinelderlypatientsvaughanwilliamsclassiiiandivdrugs
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