Maĭkov E B
Kardiologiia. 2012;52(11):56-65.
Last two decades have been dedicated to intensive search for new class III antiarrhythmic drugs, especially for atrial fibrillation. Here we present a review of the status this problem. Influence on transmembranous ion currents and mechanisms of antiarrhythmic action are described. Results of experimental and clinical studies are reviewed. Possible perspectives of newest atrial-selective medications are discussed. Russia's class III antiarrhythmic drugs are of special interest of the article. First data on efficacy and safety of newest agent niferidil are presented. This drug undergoes clinical testing at present time.
过去二十年致力于深入寻找新型III类抗心律失常药物,尤其是针对心房颤动的药物。在此,我们对该问题的现状进行综述。描述了其对跨膜离子电流的影响及抗心律失常作用机制。回顾了实验和临床研究结果。讨论了最新的心房选择性药物的可能前景。本文特别关注俄罗斯的III类抗心律失常药物。介绍了最新药物尼非地尔疗效和安全性的初步数据。该药物目前正在进行临床试验。