A 65-year-old woman with a history of paroxysmal supraventricular tachycardia presents with palpitations, dyspnea, and chest discomfort. Vital signs show BP 138/82 mmHg, HR 178 bpm, RR 20/min, and SpO2 98% on room air. ECG demonstrates a narrow-complex tachycardia. She denies prior myocardial infarction. She is initiated on a medication that slows conduction through the atrioventricular node by decreasing L-type calcium current. Which drug has this mechanism of action?

  1. A)Amiodarone
  2. B)VerapamilGABARITO
  3. C)Procainamide
  4. D)Adenosine deaminase
  5. E)Lidocaine

Explicação

Verapamil and diltiazem are non dihydropyridine calcium channel blockers that decrease AV nodal conduction by reducing L type calcium current. They are commonly used for rate control in supraventricular arrhythmias. Ver explicação completa e trilha adaptativa →

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