Mexiletine: Antiarrhythmic mechanisms, emerging clinical applications and mortality.
Journal article
Olleik, Farah, Kamareddine, Mohammed Hussein, Spears, Jenna, Tse, Gary, Liu, Tong and Yan, G. 2023. Mexiletine: Antiarrhythmic mechanisms, emerging clinical applications and mortality. Pacing and Clinical Electrophysiology. https://doi.org/10.1111/pace.14846
Authors | Olleik, Farah, Kamareddine, Mohammed Hussein, Spears, Jenna, Tse, Gary, Liu, Tong and Yan, G. |
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Abstract | Mexiletine, a class Ib antiarrhythmic drug, exhibits its major antiarrhythmic effect via inhibition of the fast and late Na currents in myocardial tissues that are dependent on the opening of Na channels for their excitation. Through a comprehensive examination of mexiletine's therapeutic benefits and potential risks, we aim to provide valuable insights that reinforce its role as a vital therapeutic option for patients with ventricular arrhythmias, long QT syndrome, and other heart rhythm disorders. This review will highlight the current understandings of the antiarrhythmic effects and rationales for recent off-label use and address the mortality and proarrhythmic effects of mexiletine utilizing published basic and clinical studies over the past five decades. [Abstract copyright: © 2023 Wiley Periodicals LLC.] |
Keywords | Mexiletine; Mortality; Ventricular tachycardia; Antiarrhythmic effects; Long QT syndrome; Atrial fibrillation; Drug safety; Proarrhythmias; Pharmacokinetics |
Year | 2023 |
Journal | Pacing and Clinical Electrophysiology |
Publisher | Wiley |
ISSN | 1540-8159 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/pace.14846 |
Official URL | https://onlinelibrary.wiley.com/doi/10.1111/pace.14846 |
Publication dates | |
Online | 17 Oct 2023 |
Publication process dates | |
Deposited | 30 Oct 2023 |
Accepted | 07 Oct 2023 |
Output status | Published |
Permalink -
https://repository.canterbury.ac.uk/item/9631w/mexiletine-antiarrhythmic-mechanisms-emerging-clinical-applications-and-mortality
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