Antiarrhythmics

What they do

Antiarrhythmic drugs are a larger group of medicines that can be used to control an abnormal heart rhythm. However, in heart failure, antiarrhythmic drugs are prescribed cautiously, because they may have serious side effects.

Side effects of selected antiarrhythmic drugs

  • Amiodarone is a very potent drug and is sometimes needed to control heart rhythm disturbances in heart failure. However, it markedly increases the sensitivity of your skin to sunlight! Therefore, you should avoid direct exposure to the sun and always use a high-factor sunscreen. It is recommended to get your skin checked by a dermatologist annually. Further, long-term treatment with amiodarone may also affect thyroid function and eye-sight, which should be checked also regularly. The drug level of amiodarone in your body system can be checked with a dedicated blood test.
  • Digoxin or digitoxin are so-called cardiac glycosides. They slow the heart beat when atrial fibrillation is present. Today, only small doses are prescribed, which make these drugs well torable. Side effects are more common with higher doses and include symptoms like nausea, loss of appetite, and diarrhea. The drug level of digoxin or digitoxin in your body system can be checked with a dedicated blood test.

Tip

Some antiarrhythmics may have an interaction with grapefruit juice, altering the effect of this medicine. Your doctor will be able to explain this to you.

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ESC Guidelines for Heart Failure

What patients need to know

This guide for patients from the European Society of Cardiology aims to provide an overview of the latest evidence-based recommendations for the diagnosis and treatment of heart failure.

In particular, it should help patients to understand the:

  • main types of heart failure
  • medicines used to treat heart failure
  • devices that may be appropriate
  • importance of rehabilitation
  • management by a multidisciplinary team
  • importance of self-care in managing your own condition

Learn more

AN ANIMATED JOURNEY THROUGH HEART FAILURE

A series of 9 simple, captivating animations explaining heart failure and its treatment.

These narrated animations explain how a healthy heart works, what happens to it in heart failure and how various treatments work to improve your health.

PATIENT AND CAREGIVERS VIDEOS

In this section you can watch, listen or read interviews with other people with heart failure and their caregivers.

VISIT OUR FACEBOOK PAGE

and share your own views and experiences with other patients, families and caregivers.

heartfailurematters.org is a European Society of Cardiology website

The heartfailurematters.org website was developed under the direction of the Heart Failure Association of the European Society of Cardiology (ESC). The ESC is a world leader in the discovery and dissemination of best practices in cardiovascular medicine. Our members and decision-makers are healthcare professionals who volunteer their time and expertise to represent professionals in the field of cardiology in Europe and beyond.

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