Paper I
2019 February (2010 Scheme) · 40 marks · 120 min

Question

Lidocaine / Propranolol to treat arrhythmia following myocardial infarction Name the following (Two examples for each): (5x1=5)

Q150.3 marksShort Answers

Answer

Chosen drug: Lidocaine

Justification: Lidocaine is a Class IB antiarrhythmic that selectively suppresses abnormal ventricular automaticity (ischaemic/depolarized tissue) with minimal effect on normal conduction, making it the drug of choice for acute ventricular arrhythmias following myocardial infarction. It has a rapid onset (IV) and short duration of action, allowing easy titration in the acute setting. Propranolol, while useful in post-MI care for its beta-blocking and antiarrhythmic properties, is not the first choice for treating an established acute ventricular arrhythmia immediately post-MI, and its negative inotropic/chronotropic effects can be hazardous in the acute peri-infarct period with haemodynamic instability.

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