The Clinical Pharmacology of Lidocaine as an Antiarrhythymic Drug

KEN A. COLLINSWORTH, SUMNER M. KALMAN, DONALD C. HARRISON
1974 Circulation  
This article reviews current knowledge about lidocaine, with reference to its chemistry, metabolism, electrophysiology, hemodynamic effects, antiarrhythmic uses, pharmacokinetics, and side effects. The critical importance of blood levels and their relation to lidocaine's antiarrhythmic and toxic effects is noted, with special emphasis given to patients with compromised clearance due to heart failure. On the basis of this information, we present our current approach to the clinical use of
more » ... ne in the treatment of ventricular arrhythmias, with particular reference to patients with acute myocardial infarction.
doi:10.1161/01.cir.50.6.1217 pmid:4609637 fatcat:4bjcizgvwnhezatide6fai2oi4