RT Book, Section A1 Bauer, Larry A. SR Print(0) ID 1115557286 T1 Lidocaine T2 Applied Clinical Pharmacokinetics, 3e YR 2015 FD 2015 PB McGraw-Hill Medical PP New York, NY SN 9780071794589 LK accesspharmacy.mhmedical.com/content.aspx?aid=1115557286 RD 2024/04/19 AB Lidocaine is a local anesthetic agent that also has antiarrhythmic effects. It is classified as a type IB antiarrhythmic agent and is a treatment for ventricular tachycardia.1,2 For episodes of sustained ventricular tachycardia with signs or symptoms of hemodynamic instability (angina, pulmonary edema, hypotension, hemodynamic collapse), electrical cardioversion is the treatment of choice. However, for patients who are hemodynamically stable, sustained monomorphic ventricular tachycardia may be successfully treated using antiarrhythmic therapy. Lidocaine therapy is considered an alternative to procainamide, amiodarone, or sotalol treatment in this situation.3