Mechanisms of ranolazine's dual protection against atrial and ventricular fibrillation

Europace. 2013 Mar;15(3):317-24. doi: 10.1093/europace/eus380. Epub 2012 Dec 7.

Abstract

Coronary artery disease and heart failure carry concurrent risk for atrial fibrillation and life-threatening ventricular arrhythmias. We review evidence indicating that at therapeutic concentrations, ranolazine has potential for dual suppression of these arrhythmias. Mechanisms and clinical implications are discussed.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acetanilides / therapeutic use*
  • Action Potentials
  • Animals
  • Anti-Arrhythmia Agents / therapeutic use*
  • Atrial Fibrillation / etiology
  • Atrial Fibrillation / metabolism
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / prevention & control*
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / drug therapy
  • Coronary Artery Disease / physiopathology
  • Electrocardiography
  • Heart Conduction System / drug effects*
  • Heart Conduction System / metabolism
  • Heart Conduction System / physiopathology
  • Heart Failure / complications
  • Heart Failure / drug therapy*
  • Heart Failure / physiopathology
  • Humans
  • Myocardial Ischemia / complications
  • Myocardial Ischemia / drug therapy*
  • Myocardial Ischemia / physiopathology
  • Piperazines / therapeutic use*
  • Ranolazine
  • Sodium / metabolism
  • Sodium Channel Blockers / therapeutic use*
  • Treatment Outcome
  • Ventricular Fibrillation / etiology
  • Ventricular Fibrillation / metabolism
  • Ventricular Fibrillation / physiopathology
  • Ventricular Fibrillation / prevention & control*

Substances

  • Acetanilides
  • Anti-Arrhythmia Agents
  • Piperazines
  • Sodium Channel Blockers
  • Sodium
  • Ranolazine