Top Tweets for #Disopyramide
In this cohort of patients with symptomatic #oHCM with persistent #LVOT obstruction, combination therapy with #aficamten and #disopyramide was safe and well tolerated but did not enhance clinical efficacy vs aficamten alone. https://t.co/3wZ0N2EC8N #JACCHF #cvHCM

16) In fact this has spurred advances in #oHCM management beyond the often limited effects of #betablockers and #disopyramide. Invasive #SRT was really the only effective strategy for oHCM.

Excited for #HCMSummit8? Don't miss #MarkSherrid's must-see talk on "Traditional Medical Therapies w/ #BetaBlocker / #CalciumChannelBlockers (And Donโt Forget about #Disopyramide)". Get your tickets now at https://t.co/XK17fomHys. #cardiotwitter #hypertrophiccardiomyopathy #hcm

13c) All but #disopyramide are class III anti-arrhythmic ๐ (option 1).
Class III #AAD block cardiac K channels to prolong repolarization. Includes several types of ๐differing in certain specific properties.
๐ https://t.co/wjFsqvSMsQ

24h) In the #VALOR trial, treatment with #mavamcamten was shown to reduce the use of septal reduction therapy. VALOR also showed the possibility to combine mavacamten with #disopyramide
๐ https://t.co/5DIfYsAxSZ
20b) Among these pts, 42% were eligible for #SRT at baseline and 22% were taking #disopyramide. Main results are shown here:

38) Moreover, 10% pts were on #disopyramide & there were no safety signals when the 2 drugs have been coadministered. #VALOR_HCM

16) Therefore, #disopyramide should be avoided in glaucoma, men with prostatism, & patients taking other drugs that prolong the QTc interval. Another caution (as Class IA antiarrhythmic) is #AFib in whom drug-induced enhancement of AV conduction can increase the ventricular rate.

15) Finally, #disopyramide (used as 2nd or 3rd line therapy often in association) has as main limitation anticholinergic side-effects e.g. dry eyes & mouth, urinary retention, & constipation. Moreover, #QTc prolongation is not rare & should be monitored during dose up-titration.


It is 2023 and if you are ready for some more #HCM learning in the new year, join a group of us at the NYU Management Decisions in #HCM (Directors: Sherrid, Massera & Swistel).
https://t.co/Qwoqgr6Sb9
#CardioTwitter

71) Back to #REDWOOD, there was a 3rd Cohort of patients with obstructive #HCM refractory to an AV nodal blocking agent + #disopyramide.
Abstract ๐https://t.co/YEoTqQDwQM

๐๐ฝWhat are your thoughts on how #mavacampten may compare #disopyramide? What about attenuated effect with #betablockers? @jct_ucb @SilCastelletti @GiuseppeGalati_ @krychtiukmd @RRBaligaMD @totocarbone @NadeenFaza @gina_lundberg @jeanlucvachiery @a_l_bailey @MyoKardia @Hragy
#Disopyramide in HOCM causes QT prolongation!
@rladeiraslopes @JJRyanMD @DrJMieres https://t.co/m72Be2Cm3t
Disopyramide
Class IA antiarrhythmic used for atrial fibrillation + HOCM
Causes anticholinergic side-effects + prolongs QT
#USMLE
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