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Dictionary · Drug

sotalol

A drug that is both a beta blocker and a potassium channel blocker, used to control serious heart rhythm problems.

SOH-tuh-lol nounBoxed warning

What it means

A class III antiarrhythmic that also blocks beta receptors. It keeps a normal rhythm in atrial fibrillation and flutter and treats dangerous ventricular rhythms. It lengthens the QT interval on the ECG, which can trigger a life-threatening rhythm called torsades de pointes, and it slows the heart.

For the nurse

It is started or restarted in a facility with continuous ECG monitoring for at least 3 days, with kidney function checked. Check the pulse, blood pressure and QT interval, and keep potassium and magnesium in range.

At a glance

Drug classantiarrhythmic (class III, with beta-blocking action)
Brand namesBetapace, Betapace AF, Sorine, Sotylize
Also writtenBetapace, Betapace AF, Sorine

Related terms

bradycardia

A heart rate slower than normal; in an adult, fewer than 60 beats per minute.

arrhythmia

A heart rhythm that is not normal: too fast, too slow or irregular.

electrocardiogram

A test that records the heart's electrical activity as waves on paper or a screen.

atrial fibrillation

An irregular heart rhythm in which the upper chambers of the heart quiver instead of beating in an organized way.

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