Page last updated: 2024-10-26

disopyramide and Torsade de Pointes

disopyramide has been researched along with Torsade de Pointes in 13 studies

Disopyramide: A class I anti-arrhythmic agent (one that interferes directly with the depolarization of the cardiac membrane and thus serves as a membrane-stabilizing agent) with a depressant action on the heart similar to that of guanidine. It also possesses some anticholinergic and local anesthetic properties.
disopyramide : A monocarboxylic acid amide that is butanamide substituted by a diisopropylamino group at position 4, a phenyl group at position 2 and a pyridin-2-yl group at position 2. It is used as a anti-arrhythmia drug.

Research Excerpts

ExcerptRelevanceReference
"Disopyramide was metabolized by the cytochrome enzyme CYP3A4 and clarithromycin competitively inhibits this enzyme, probably resulting in an increase in plasma concentration of disopyramide."5.30Torsades de pointes ventricular tachycardia induced by clarithromycin and disopyramide in the presence of hypokalemia. ( Hashimoto, T; Hayashi, Y; Ikeda, U; Mitsuhashi, T; Shimada, K; Watanabe, T, 1999)
"Initiation of disopyramide in the outpatient setting is safe and the risk of subsequent sudden cardiac death is low."1.46Safety of Outpatient Initiation of Disopyramide for Obstructive Hypertrophic Cardiomyopathy Patients. ( Adler, A; Chan, RH; Fourey, D; Gollob, MH; Hindieh, W; Rakowski, H; Weissler-Snir, A, 2017)
"Disopyramide was metabolized by the cytochrome enzyme CYP3A4 and clarithromycin competitively inhibits this enzyme, probably resulting in an increase in plasma concentration of disopyramide."1.30Torsades de pointes ventricular tachycardia induced by clarithromycin and disopyramide in the presence of hypokalemia. ( Hashimoto, T; Hayashi, Y; Ikeda, U; Mitsuhashi, T; Shimada, K; Watanabe, T, 1999)
"Episodes of torsade de pointes frequently occur after a prolonged pause."1.29Quinidine but not disopyramide prolongs cardiac Purkinje fiber action potentials after a pause. ( Bursill, JA; Campbell, TJ; Wyse, KR, 1994)
"Torsades de pointes was induced following ventricular paced beats and suppressed by cessation of disopyramide in all or by setting a higher pacing rate in one."1.29Torsades de pointes in paced patients with sick sinus syndrome after disopyramide administration. ( Fujito, T; Hayashi, T; Inoue, T; Kimura, Y; Morooka, S; Sakai, Y; Satoh, T; Takabatake, Y; Takayanagi, K, 1994)
" This complexity seems to be the most important reason for the limited reliability of serum concentration measurements for predicting the best dosage for the individual patient."1.28[Torsades de pointes ventricular tachycardia induced by disopyramide at therapeutic serum concentration]. ( Aarskog, D; Reikvam, A, 1992)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's7 (53.85)18.2507
2000's1 (7.69)29.6817
2010's5 (38.46)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Kramer, J1
Obejero-Paz, CA1
Myatt, G1
Kuryshev, YA1
Bruening-Wright, A1
Verducci, JS1
Brown, AM1
Adler, A1
Fourey, D1
Weissler-Snir, A1
Hindieh, W1
Chan, RH1
Gollob, MH1
Rakowski, H1
Hirose, K1
Yamaguchi, H1
Oshima, Y1
Choraku, M1
Hirono, A1
Takamori, N1
Tamura, K1
Matsuhashi, T1
Sato, T1
Aizawa, Y1
Takatsuki, S1
Miyamoto, K1
Kawai, H1
Aoyama, R1
Watanabe, H1
Suzuki, K1
Suga, N1
Kitagawa, W1
Miura, N1
Nishikawa, K1
Imai, H1
Asajima, H1
Saito, N1
Ohmura, Y1
Ohmura, K1
Bursill, JA1
Wyse, KR1
Campbell, TJ1
Kimura, Y1
Takayanagi, K1
Sakai, Y1
Satoh, T1
Fujito, T1
Inoue, T1
Hayashi, T1
Morooka, S1
Takabatake, Y1
Makkar, RR1
Fromm, BS1
Steinman, RT1
Meissner, MD1
Lehmann, MH1
Kurita, T2
Ohe, T2
Shimizu, W2
Suyama, K1
Aihara, N1
Takaki, H1
Kamakura, S1
Shimomura, K2
Hayashi, Y1
Ikeda, U1
Hashimoto, T1
Watanabe, T1
Mitsuhashi, T1
Shimada, K1
Aarskog, D1
Reikvam, A1
Emori, T1

Reviews

1 review available for disopyramide and Torsade de Pointes

ArticleYear
Female gender as a risk factor for torsades de pointes associated with cardiovascular drugs.
    JAMA, 1993, Dec-01, Volume: 270, Issue:21

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Amiodarone; Bepridil; Cardiovascular Agents; Disopyramid

1993

Other Studies

12 other studies available for disopyramide and Torsade de Pointes

ArticleYear
MICE models: superior to the HERG model in predicting Torsade de Pointes.
    Scientific reports, 2013, Volume: 3

    Topics: ERG1 Potassium Channel; Ether-A-Go-Go Potassium Channels; Humans; Models, Theoretical; Patch-Clamp T

2013
Safety of Outpatient Initiation of Disopyramide for Obstructive Hypertrophic Cardiomyopathy Patients.
    Journal of the American Heart Association, 2017, May-26, Volume: 6, Issue:6

    Topics: Action Potentials; Aged; Ambulatory Care; Anti-Arrhythmia Agents; Cardiomyopathy, Hypertrophic; Data

2017
Severe respiratory failure and torsades de pointes induced by disopyramide in a patient with myasthenia gravis.
    Internal medicine (Tokyo, Japan), 2008, Volume: 47, Issue:19

    Topics: Anti-Arrhythmia Agents; Atrial Fibrillation; Cholinergic Antagonists; Disopyramide; Electrocardiogra

2008
Recurrent Torsade de Pointes during mild hypothermia therapy for a survivor of sudden cardiac arrest due to drug-induced long-QT syndrome.
    Journal of cardiovascular electrophysiology, 2010, Volume: 21, Issue:4

    Topics: Aged; Anti-Arrhythmia Agents; Disopyramide; Female; Heart Arrest; Humans; Hypothermia, Induced; Long

2010
Torsades de Pointes induced by a combination of garenoxacin and disopyramide and other cytochrome P450, family 3, subfamily A polypeptide-4-influencing drugs during hypokalemia due to licorice.
    Clinical and experimental nephrology, 2010, Volume: 14, Issue:2

    Topics: Aged, 80 and over; Anti-Arrhythmia Agents; Anti-Bacterial Agents; Cytochrome P-450 CYP3A; Disopyrami

2010
Lansoprazole precipitated QT prolongation and torsade de pointes associated with disopyramide.
    European journal of clinical pharmacology, 2012, Volume: 68, Issue:3

    Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Aged; Anti-Arrhythmia Agents; Anti-Ulcer Agents; Disopyrami

2012
Quinidine but not disopyramide prolongs cardiac Purkinje fiber action potentials after a pause.
    Journal of cardiovascular pharmacology, 1994, Volume: 23, Issue:5

    Topics: Action Potentials; Animals; Disopyramide; Dogs; Dose-Response Relationship, Drug; Electrodes, Implan

1994
Torsades de pointes in paced patients with sick sinus syndrome after disopyramide administration.
    Japanese heart journal, 1994, Volume: 35, Issue:2

    Topics: Aged; Cardiac Pacing, Artificial; Disopyramide; Electrocardiography; Female; Humans; Potassium; Sick

1994
Early afterdepolarizationlike activity in patients with class IA induced long QT syndrome and torsades de pointes.
    Pacing and clinical electrophysiology : PACE, 1997, Volume: 20, Issue:3 Pt 1

    Topics: Action Potentials; Aged; Anti-Arrhythmia Agents; Disopyramide; Electrocardiography; Electrophysiolog

1997
Torsades de pointes ventricular tachycardia induced by clarithromycin and disopyramide in the presence of hypokalemia.
    Pacing and clinical electrophysiology : PACE, 1999, Volume: 22, Issue:4 Pt 1

    Topics: Aged; Anti-Arrhythmia Agents; Anti-Bacterial Agents; Arrhythmias, Cardiac; Clarithromycin; Cytochrom

1999
[Torsades de pointes ventricular tachycardia induced by disopyramide at therapeutic serum concentration].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 1992, Aug-20, Volume: 112, Issue:19

    Topics: Aged; Disopyramide; Female; Humans; Torsades de Pointes

1992
Induction of TU abnormalities in patients with torsades de pointes.
    Annals of the New York Academy of Sciences, 1992, Jan-27, Volume: 644

    Topics: Action Potentials; Adolescent; Aged; Disopyramide; Electrocardiography; Female; Heart Conduction Sys

1992