• Clin. Geriatr. Med. · Nov 2012

    Review

    Pharmacology of antiarrhythmic drugs in elderly patients.

    • William H Frishman and Wilbert S Aronow.
    • Department of Medicine, New York Medical College, Westchester Medical Center, Valhalla, NY 10595, USA. William_Frishman@nymc.edu
    • Clin. Geriatr. Med. 2012 Nov 1; 28 (4): 575-615.

    AbstractBradyarrhythmias and tachyarrhythmias are common in elderly patients as a result of aging and acquired cardiac disease. Antiarrhythmic drugs are effective in elderly patients for the management of supraventricular and ventricular arrhythmias; however, dosing of drugs must be performed with care because of age-related changes in drug pharmacokinetics, the presence of concomitant disease, and frequent drug-drug interactions. Despite the large number of antiarrhythmic drugs having different electrophysiologic actions, as described in this article, only the β-blockers have been shown to be effective in reducing mortality and to lack proarrhythmic actions.Copyright © 2012 Elsevier Inc. All rights reserved.

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