Schmitz W
Klin Wochenschr. 1980 Sep 15;58(18):907-18. doi: 10.1007/BF01477048.
Newer antiarrhythmic drugs are tentatively classified on the basis of their influence on the transmembrane action potential, the fast sodium inward current and its kinetics, and the slow inward current which is primarily carried by calcium ions. Disopyramide is probably a quinidine-like antiarrhythmic drug, while the effects of aprindine, lorcainide, and tocainide resemble those of lidocaine. Mexiletine and propafenon cannot be classified definitely on the basis of the hitherto available electrophysiological data. Besides their effects on the fast inward current these substances may have additional calcium antagonistic properties.
新型抗心律失常药物根据其对跨膜动作电位、快速内向钠电流及其动力学以及主要由钙离子携带的缓慢内向电流的影响进行初步分类。丙吡胺可能是一种类似奎尼丁的抗心律失常药物,而阿普林定、劳卡尼和妥卡尼的作用与利多卡因相似。根据目前可得的电生理数据,美西律和普罗帕酮无法明确分类。除了对快速内向电流的影响外,这些物质可能还具有额外的钙拮抗特性。