Antiarrhythmics

Adenosine

  • ↑ K+ out of cells -> hyperpolarizing the cell and ↓ ICa, decreasing AV node conduction.
  • Drug of choice in diagnosing/terminating certain forms of SVT.
  • Very short acting (~ 15 sec).
  • Effects blunted by theophylline and caffeine (both are adenosine receptor antagonists).
  • Adverse effects include flushing, hypotension, chest pain, sense of impending doom, bronchospasm.