Trails of Discovery
Class III antiarrhythmic agents:
serendipity or drug design? |
The classification of antiarrhythmic
drugs proposed by Singh
and Vaughan Williams in 19701,
relied on the differential actions
of these agents on the profile of the
transmembrane action potential in
isolated myocardial tissue from different
species. Despite the dramatic advances
over the last 15 years in understanding
the molecular and ionic basis,
which determine the profile of the
transmembrane action potential, the
original classification persists in both
the clinical and government regulatory
spheres. The field of Class III antiarrhythmic
drug research has been illuminated
by numerous publications in
a most fruitful manner over the last
30 years by Professor Bramah Singh,
who provides an elegant example of
what is now translational medicine,
ie, applying data from the laboratory
to the bedside. This essay is largely
based on Professor Singh’s seminal
work...
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