Table 3.4-1. Vaughan Williams classification of antiarrhythmic drugs

Class

Action

Drugs

I

Sodium channel blockade

 

 

Ia

Moderate phase 0 depression, prolonging of action potential

Quinidine, procainamide, disopyramide

Ib

Minimal effect on phase 0, no change in duration of action potential

Lidocaine, mexiletine

Ic

Marked phase 0 depression, conduction slowing, little effect on repolarization

Flecainide, propafenone

II

Beta-adrenergic blockade

Propranolol, metoprolol, atenolol, esmolol, bisoprolol

III

Potassium channel blockade

Amiodarone, sotalol, bretylium, ibutilide

IV

Calcium channel blockade

Verapamil, diltiazem