Antiarrhythmic drugs use in elderly patients. Vaughan Williams class I and II drugs

Use of class I antiarrhythmic drugs in the elderly is limited by their adverse drug reactions (ADRs), proarrhythmic effect (I A и I C) and high risk of drug interactions. Disopyramide use should be avoided due to its strong anticholinergic properties associated with the risk of cognitive and physica...

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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 2016-09-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/1313
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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 Use of class I antiarrhythmic drugs in the elderly is limited by their adverse drug reactions (ADRs), proarrhythmic effect (I A и I C) and high risk of drug interactions. Disopyramide use should be avoided due to its strong anticholinergic properties associated with the risk of cognitive and physical disorders and falls in the “very elderly” patients. Available data suggest that elderly patients do not have significant limitations for beta-blockers use. However to determine beta-blockers with the best benefit/risk ratio in elderly patients with co-morbidity further clinical trials are needed.
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spelling doaj.art-c4f2ec73c11b4a6ab0bde1403de064772024-04-01T07:43:34ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-09-0112447147810.20996/1819-6446-2016-12-4-471-4781247Antiarrhythmic drugs use in elderly patients. Vaughan Williams class I and II drugsE. A. Ushkalova0S. K. Zyryanov1K. E. Zatolochina2A. P. Pereverzev3N. A. Chukhareva4People's Friendship University of RussiaPeople's Friendship University of RussiaPeople's Friendship University of RussiaPeople's Friendship University of RussiaScientific Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. KulakovUse of class I antiarrhythmic drugs in the elderly is limited by their adverse drug reactions (ADRs), proarrhythmic effect (I A и I C) and high risk of drug interactions. Disopyramide use should be avoided due to its strong anticholinergic properties associated with the risk of cognitive and physical disorders and falls in the “very elderly” patients. Available data suggest that elderly patients do not have significant limitations for beta-blockers use. However to determine beta-blockers with the best benefit/risk ratio in elderly patients with co-morbidity further clinical trials are needed.https://www.rpcardio.online/jour/article/view/1313class i and ii 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 I and II drugs
Рациональная фармакотерапия в кардиологии
class i and ii antiarrhythmic drugs
elderly patients
title Antiarrhythmic drugs use in elderly patients. Vaughan Williams class I and II drugs
title_full Antiarrhythmic drugs use in elderly patients. Vaughan Williams class I and II drugs
title_fullStr Antiarrhythmic drugs use in elderly patients. Vaughan Williams class I and II drugs
title_full_unstemmed Antiarrhythmic drugs use in elderly patients. Vaughan Williams class I and II drugs
title_short Antiarrhythmic drugs use in elderly patients. Vaughan Williams class I and II drugs
title_sort antiarrhythmic drugs use in elderly patients vaughan williams class i and ii drugs
topic class i and ii antiarrhythmic drugs
elderly patients
url https://www.rpcardio.online/jour/article/view/1313
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AT kezatolochina antiarrhythmicdrugsuseinelderlypatientsvaughanwilliamsclassiandiidrugs
AT appereverzev antiarrhythmicdrugsuseinelderlypatientsvaughanwilliamsclassiandiidrugs
AT nachukhareva antiarrhythmicdrugsuseinelderlypatientsvaughanwilliamsclassiandiidrugs