Article
The role of genetically determined polymorphic drug metabolism in the beta-blockade produced by propafenone.
The New England journal of medicine - 21 Jun 1990
Lee J T, Kroemer H K, Silberstein D J, Funck-Brentano C, Lineberry M D, Wood A J, Roden D M, Woosley R L
Abstract excerpt
Propranolol and the sodium-channel-blocking antiarrhythmic agent propafenone share structural features. Although propafenone's beta-blocking actions are readily demonstrable in vitro, clinically significant beta-blockade occurs inconsistently in vivo. In this study, we tested the hypothesis that genetically determined variations in the biotransformation of propafenone to its 5-hydroxy metabolite account for...
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