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What is the mechanism of action of Amiodarone?

Prolong the action potential by blocking Sodium channels

Shorten the action potential by blocking Sodium channels

Prolong the action potential by blocking Potassium channels

Amiodarone is a class III antiarrhythmic, and its main effect is to prolong repolarization by blocking potassium channels in cardiac cells, especially the rapid delayed rectifier current (IKr). This slows phase 3 of the action potential, extending the overall action potential duration and the QT interval, which increases the refractory period and reduces the chance of re-entry tachyarrhythmias. While it also has other actions on sodium channels, calcium channels, and beta receptors, the key mechanism behind prolonging the action potential is potassium-channel blockade.

Shorten the action potential by blocking Potassium channels

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