Ibutilide: Difference between revisions

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'''Ibutilide''' is a Class III antiarrhythmic agent that is indicated for acute cardioconversion of atrial fibrillation and atrial flutter of a recent onset to sinus rhythm. It exerts its antiarrhythmic effect by induction of slow inward sodium current, which prolongs action potential and refractory period (physiology) of myocardial cells. Because of its Class III antiarrhythmic activity, there should be caution for proarrhythmic effects and it should be used in a setting with continuous ECG monitoring and by personnel trained in identification and treatment of acute ventricular arrhythmias, particularly torsade de pointes (TdP).
{{Short description|An article about the antiarrhythmic medication Ibutilide}}
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==Etymology==
'''Ibutilide''' is a class III antiarrhythmic agent used in the treatment of [[atrial fibrillation]] and [[atrial flutter]]. It is administered intravenously and works by prolonging the cardiac action potential, thereby helping to restore normal heart rhythm.
The name "Ibutilide" is derived from its chemical name, which is N-[4-[4-(ethylheptylamino)-1-hydroxybutyl]phenyl]methanesulfonamide.


==Pharmacology==
==Mechanism of Action==
Ibutilide works by activating a specific type of ion channel in the heart, leading to a prolongation of the cardiac action potential. This action potential prolongation is associated with a delay in the repolarization of the heart's electrical system, which can promote the conversion of abnormal heart rhythms back to normal rhythms.
Ibutilide functions by blocking specific [[potassium channels]] in the heart, which are responsible for repolarization during the cardiac action potential. By inhibiting these channels, ibutilide prolongs the action potential duration and refractory period, which can help terminate reentrant arrhythmias such as atrial fibrillation and atrial flutter.


==Clinical Use==
==Clinical Use==
Ibutilide is used in the clinical setting primarily to treat [[atrial fibrillation]] and [[atrial flutter]], two common types of abnormal heart rhythm. It is administered intravenously and its effects are usually seen within 30 minutes of administration.
Ibutilide is primarily used in the acute setting to convert atrial fibrillation or atrial flutter to normal sinus rhythm. It is administered as an intravenous infusion, typically in a hospital setting where the patient can be monitored for potential adverse effects.


==Side Effects==
==Adverse Effects==
The most serious side effect of ibutilide is a type of abnormal heart rhythm called [[torsades de pointes]]. This can lead to a serious condition known as ventricular fibrillation, which is a medical emergency. Other side effects can include headache, irregular heartbeats, and low blood pressure.
The most significant adverse effect of ibutilide is the risk of [[torsades de pointes]], a type of [[ventricular tachycardia]] that can lead to [[ventricular fibrillation]] and sudden cardiac death. Other side effects may include [[hypotension]], [[bradycardia]], and [[QT interval]] prolongation.


==Related Terms==
==Pharmacokinetics==
* [[Antiarrhythmic agent]]
Ibutilide is rapidly distributed following intravenous administration, with a half-life of approximately 6 hours. It is metabolized in the liver and excreted primarily in the urine.
 
==Contraindications==
Ibutilide is contraindicated in patients with a prolonged QT interval, [[congestive heart failure]], or a history of [[torsades de pointes]]. Caution is advised when using ibutilide in conjunction with other medications that prolong the QT interval.
 
==Related pages==
* [[Atrial fibrillation]]
* [[Atrial fibrillation]]
* [[Atrial flutter]]
* [[Atrial flutter]]
* [[Antiarrhythmic agent]]
* [[Torsades de pointes]]
* [[Torsades de pointes]]
* [[Ventricular fibrillation]]
==References==
<references />
{{stub}}


[[Category:Pharmacology]]
[[Category:Antiarrhythmic agents]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Medicine]]
<gallery>
File:Ibutilide.svg|Ibutilide
</gallery>

Latest revision as of 01:28, 20 February 2025

An article about the antiarrhythmic medication Ibutilide


Ibutilide
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Ibutilide is a class III antiarrhythmic agent used in the treatment of atrial fibrillation and atrial flutter. It is administered intravenously and works by prolonging the cardiac action potential, thereby helping to restore normal heart rhythm.

Mechanism of Action[edit]

Ibutilide functions by blocking specific potassium channels in the heart, which are responsible for repolarization during the cardiac action potential. By inhibiting these channels, ibutilide prolongs the action potential duration and refractory period, which can help terminate reentrant arrhythmias such as atrial fibrillation and atrial flutter.

Clinical Use[edit]

Ibutilide is primarily used in the acute setting to convert atrial fibrillation or atrial flutter to normal sinus rhythm. It is administered as an intravenous infusion, typically in a hospital setting where the patient can be monitored for potential adverse effects.

Adverse Effects[edit]

The most significant adverse effect of ibutilide is the risk of torsades de pointes, a type of ventricular tachycardia that can lead to ventricular fibrillation and sudden cardiac death. Other side effects may include hypotension, bradycardia, and QT interval prolongation.

Pharmacokinetics[edit]

Ibutilide is rapidly distributed following intravenous administration, with a half-life of approximately 6 hours. It is metabolized in the liver and excreted primarily in the urine.

Contraindications[edit]

Ibutilide is contraindicated in patients with a prolonged QT interval, congestive heart failure, or a history of torsades de pointes. Caution is advised when using ibutilide in conjunction with other medications that prolong the QT interval.

Related pages[edit]