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Quinidine—A legacy within the modern era of antiarrhythmic therapy

[Display omitted] Quinidine has a very long history as antiarrhythmic medication. The alkaloid has been used in the treatment of almost all cardiac arrhythmias, especially atrial fibrillation, since the early twentieth century. Despite decreases in clinical prescription over the last two decades, ma...

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Bibliographic Details
Published in:Pharmacological research 2019-06, Vol.144, p.257-263
Main Authors: Vitali Serdoz, Laura, Rittger, Harald, Furlanello, Francesco, Bastian, Dirk
Format: Article
Language:English
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Summary:[Display omitted] Quinidine has a very long history as antiarrhythmic medication. The alkaloid has been used in the treatment of almost all cardiac arrhythmias, especially atrial fibrillation, since the early twentieth century. Despite decreases in clinical prescription over the last two decades, mainly due to side effects like pro-arrhythmia, leading to increased mortality and to the availability of newer anti-arrhythmic drugs and catheter ablation, Quinidine remains an invaluable drug in the modern era of antiarrhythmic therapy. We present a review of the pharmacological properties of quinidine and its pivotal therapeutic role in the treatment of life-threatening arrhythmic storms in patients with congenital arrhythmogenic syndromes like Brugada’s syndrome, early repolarization syndrome, short QT syndrome and idiopathic ventricular fibrillation.
ISSN:1043-6618
1096-1186
DOI:10.1016/j.phrs.2019.04.028