Novel antiarrhythmic drugs in atrial fibrillation: focus on tedisamil

Expert Opin Investig Drugs. 2009 Aug;18(8):1191-6. doi: 10.1517/13543780903114150.

Abstract

Background: Even established and effective antiarrhythmic drugs (AADs) in atrial fibrillation (AF) are limited by their pro-arrhythmic and non-target organ side effects. Therefore the search continues for safer and effective new AADs.

Objective: This review will examine a novel AAD, tedisamil--a multichannel potassium channel blocker--and its antiarrhythmic properties, focusing on AF.

Methods: Review of the literature and studies assessing the effect of tedisamil in humans and animal models with atrial arrhythmia(s).

Conclusion: Tedisamil appears to be effective for rhythm restoration in acute-onset AF patients. The proven anti-ischemic effect with tedisamil may be an added benefit. Further studies with tedisamil are needed to confirm its safety and long-term efficacy.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Arrhythmia Agents / chemistry
  • Anti-Arrhythmia Agents / pharmacology
  • Anti-Arrhythmia Agents / therapeutic use*
  • Atrial Fibrillation / drug therapy*
  • Bridged Bicyclo Compounds, Heterocyclic / chemistry
  • Bridged Bicyclo Compounds, Heterocyclic / pharmacology
  • Bridged Bicyclo Compounds, Heterocyclic / therapeutic use*
  • Clinical Trials as Topic
  • Cyclopropanes / chemistry
  • Cyclopropanes / pharmacology
  • Cyclopropanes / therapeutic use*
  • Dose-Response Relationship, Drug
  • Humans
  • Molecular Structure

Substances

  • Anti-Arrhythmia Agents
  • Bridged Bicyclo Compounds, Heterocyclic
  • Cyclopropanes
  • tedisamil