Antiarrhythmic Effect of Aprindine on Several Types of Ventricular Arrhythmias

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Abstract
The antiarrhythmic effect of aprindine was compared with those of lidocaine and propranolol on several ventricular arrhythmias, epinephrine arrhythmias in cats, ouabain arrhythmias in cats and guinea pigs, ischemic ventricular arrhythmias in coronary-ligated beagle dogs. Antiarrhythmic effects of aprindine and lidocaine were observed both in ouabain and ischemic arrhythmias, but not in epinephrine arrhythmias. While propranolol had a strong antiarrhythmic effect against epinephrine and ouabain arrhythmias, it did not increase sinus beats in ischemic arrhythmias. Marked antiarrhythmic effects of aprindine in ischemic arrhythmias were observed in dogs using either single i.v. administration (4 mg/kg) or i.v. infusion (200 .mu.g/kg per min, 2 mg/kg). Antiarrhythmic activity of aprindine is about twice as strong as that of lidocaine, but lidocaine is less toxic in experimental animals.