Describe the mechanism of action of amiodarone.

Explore the USMLE Step 3 Drug MOA Test. Use flashcards and multiple-choice questions, each with hints and explanations. Ace your exam with confidence!

Amiodarone primarily functions by blocking potassium channels, which results in the prolongation of the cardiac action potential and the refractory period. This mechanism is particularly significant because it helps to stabilize the cardiac membrane, reducing the frequency of arrhythmias. By inhibiting potassium channels, amiodarone diminishes the rate at which repolarization occurs following depolarization, which is essential for maintaining a normal conduction rhythm in the heart.

In addition to its potassium channel-blocking effects, amiodarone has other actions, such as mild sodium channel inhibition and adrenergic receptor blockade, but these are secondary to its primary role in prolonging the action potential through potassium channel inhibition. This mechanism contributes to its efficacy in treating various types of arrhythmias, including atrial fibrillation and ventricular tachycardia.

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